Phoenix Pathways LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PHOENIX PATHWAYS LLC.

Practice address

175 Langley Drive
Building E, Suite 1
Lawrenceville, GA 30046

Phone

(470) 715-3588

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Jonita McKinneyNPI 1487226569

Title

Ceo

Phone

(470) 715-3588

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonita Leandra McKinney

  • Clinical Social Worker
  • Lawrenceville, GA
  • NPI 1487226569
  NPD Authorized official

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1174355333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DRIVE",
            "address_2": "BUILDING E, SUITE 1",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "470-715-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DRIVE",
            "address_2": "BUILDING E, SUITE 1",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "470-715-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PATHWAYS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "JONITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-715-3588"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina D Phillips
• Ruthann Phillips, PA-C
• Sheri Phillips
• Val M Phillips, MD
• Tamoya N Philogen E
• Long K Phung, DMD
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Ellen Irene Pierce, LPC
• Gaelle Pierre

• Clinical Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.