Pathfinder Advocacy Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PATHFINDER ADVOCACY CENTER

Practice address

4750 E Moody Blvd Ste 208
Bunnell, FL 32110-7711

Phone

(386) 960-7830

Fax

(386) 960-7833

NPI assigned

Nov 21, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Virginia Latimer, CARN

Title

Ceo

Phone

(386) 960-7830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1235643693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 E MOODY BLVD STE 208",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321107711",
            "telephone_number": "386-960-7830",
            "fax_number": "386-960-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 E MOODY BLVD STE 208",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321107711",
            "telephone_number": "386-960-7830",
            "fax_number": "386-960-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "LATIMER",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-960-7830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CARN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Bunnell, FL
• Providers in Bunnell, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.