Pathways to Growth Counseling, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

C007032 Issued in NC

Legal business name

PATHWAYS TO GROWTH COUNSELING, PLLC

Practice address

5200 Park Rd
Suite 236
Charlotte, NC 28209-3650

Phone

(704) 352-2111

Fax

(704) 464-4688

NPI assigned

Jan 13, 2016

Last updated

Jan 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Emliy Lauren Cannon, MSW, LCSW, RPT

Title

Owner, Therapist

Phone

(704) 352-2111

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1124484621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARK RD",
            "address_2": "SUITE 236",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093650",
            "telephone_number": "704-352-2111",
            "fax_number": "704-464-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK RD",
            "address_2": "SUITE 236",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093650",
            "telephone_number": "704-352-2111",
            "fax_number": "704-464-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO GROWTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "EMLIY",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "704-352-2111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, RPT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "C007032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• N Patidar, PHARMD

• Adolescent and Children Mental Health Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.