Pathways to Change, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

LPC008485 Issued in GA

Legal business name

PATHWAYS TO CHANGE, LLC

Practice address

410 Peachtree Pkwy
Building 400, Suite 4245
Cumming, GA 30041-7066

Phone

(770) 203-9060

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Dorice Neir, L.P.C.

Title

Licensed Professional Counselor

Phone

(770) 203-9060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1366807489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY",
            "address_2": "BUILDING 400, SUITE 4245",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417066",
            "telephone_number": "770-203-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY",
            "address_2": "BUILDING 400, SUITE 4245",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417066",
            "telephone_number": "770-203-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "NEIR",
        "authorized_official_first_name": "DORICE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "770-203-9060",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "LPC008485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonal Patel, RPH
• Tushar M Patel, PHARM.D., R.PH.
• Ujwal Patel, MD
• Urviben Rekshitkumar Patel, MD, MPH
• Path to Change, LLC
• Rani Patil, MD
• Nibedita Patro, M.D.
• Ella Grace Patten
• Keith Douglas Patterson, PHARM.D.
• Madilyn Patterson

• Exclusive Provider Organization in Cumming, GA
• Providers in Cumming, GA by specialty
• Exclusive Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.