Active NPI
Pathlight Behavioral Health
- Mental Health Counselor
- Woodstock, GA
National Provider Identifier
1588348593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PATHLIGHT BEHAVIORAL HEALTH
- Practice address
- 4390 Earney Rd Ste 140
Woodstock, GA 30188-5687 - Phone
- (678) 568-2285
- Fax
- (706) 553-4157
- NPI assigned
- Jun 12, 2023
- Last updated
- Jun 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Brittian Parramore, LPC
- Title
- Clinical Director
- Phone
- (205) 533-2294
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4390 Earney Rd Ste 140
Woodstock, GA 30188-5687
Mailing address
4390 Earney Rd Ste 140
Woodstock, GA 30188-5687
Phone (678) 568-2285
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1588348593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4390 EARNEY RD STE 140",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301885687",
"telephone_number": "678-568-2285",
"fax_number": "706-553-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4390 EARNEY RD STE 140",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301885687",
"telephone_number": "678-568-2285",
"fax_number": "706-553-4157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHLIGHT BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-10",
"status": "A",
"authorized_official_last_name": "PARRAMORE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "BRITTIAN",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "205-533-2294",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.