Organization Active NPI

Pathlight Behavioral Health

  • Mental Health Counselor
  • Woodstock, GA
National Provider Identifier
1588348593
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
James Brittian Parramore, LPCNPI 1629562558
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.