The Journey Pathways to Healing

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

#75132117 Issued in WA

Legal business name

THE JOURNEY PATHWAYS TO HEALING

Practice address

101 Seattle Slew LN
Greenville, SC 29617-7901

Phone

(864) 449-4867

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Phyllis Jane Ericson-Davis, PHD.NPI 1114323367

Title

Clinical Psychologist, Rev.

Phone

(864) 449-4867

Specialties & licenses 1

Addresses

Other names 1

• Reverend Carrol Davis Former legal business name

Practitioners 1

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

• Phyllis Ericson-Davis, PHD

  • Pastoral Counselor
  • Greenville, SC
  • NPI 1114323367
  NPD (past) Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1487050571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SEATTLE SLEW LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296177901",
            "telephone_number": "864-449-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SEATTLE SLEW LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296177901",
            "telephone_number": "864-449-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JOURNEY PATHWAYS TO HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "ERICSON-DAVIS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, REV.",
        "authorized_official_telephone_number": "864-449-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WA",
            "license": "#75132117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reverend Carrol Davis",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• The Lasik Vision Institute LLC
• The Oaks Dental Group
• The OBGYN Group of Greenville
• The Pelham Center
• The Sanctuary the Place of Restoration

• Voluntary or Charitable Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Voluntary or Charitable Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.