Pathways Center for Behavioral and Developmental Growth
Organization Active NPI Community/Behavioral Health Agency · Newnan, GA
NPI 1013289255 · NPPES record last updated Feb 3, 2012
Key facts
- NPI
- 1013289255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- LPC004589 (GA)
- Legal business name
- PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
- Practice address
- 52 Perry St
Newnan, GA 30263 - Phone
- (678) 423-4610
- NPI assigned
- Feb 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Ms. Sherri Askea
- Title
- Billing Manager
- Phone
- (706) 845-4045
Corporate family (same tax ID) 15
Practitioners 66
-
Lynn B Beck, LCSW
-
Nelson Charles Bennett, M.D.
-
Amy Braswell, LPC
-
Franchon Renee Carter, PA-C
-
Gregory D Cosby, LCSW
-
Rebekah Dingler, LPC
-
Henry Alamzan Eugenio, M.D.
-
Judy Lynne Fish, PSYD
-
Velda Jean Givens, D.O.
-
Yvonne M Greene, M.D.
-
Sherri Valynn Greubel, LCSW
-
Mark Daniel Gronsbell, M.D.
-
Vickie Bryant Harris, D.O.
-
Benjamin Herrera, M.D.
-
Lauren Hornsby, NP
-
Debora Storey Johnson, M.D.
-
Patricia G Jones-Nice, M.D.
-
Ramesh Babu Kannegenti, M.D.
National Provider Directory
- Tax ID family
- Pathways Center CSB
Locations
120 Gordon Commercial Dr
Ste A
Lagrange, GA 30240
52 Perry St
Newnan, GA 30263
Phone (678) 423-4610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC004589 | GA | Yes |
Addresses
Primary practice location
52 Perry St
Newnan, GA 30263
Mailing address
120 Gordon Commercial Dr Ste a
Lagrange, GA 30240-5753
Phone (706) 845-4045
NPI Registry JSON
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1013289255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 GORDON COMMERCIAL DR STE A",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405753",
"telephone_number": "706-845-4045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 PERRY ST",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30263",
"telephone_number": "678-423-4610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-03",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "ASKEA",
"authorized_official_first_name": "SHERRI",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "706-845-4045",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC004589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
- Sunny Dinesh Patel
- Vijay M. Patel
- Vishalee Patel
- Pathways Center for Behavioral & Developmental Growth
- Pathways Center for Behavioral and Developmental Disabilities
- Pathways Center for Behavioral and Developmental Growth
- Pathways Center for Behavioral and Developmental Growth
- Pathways Center for Behavioral and Developmental Growth
- Pathways Center for Behavioral and Developmental Growth
- Patrick H Yancey III DMD
All providers in Newnan, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.