Pathway Camp Mitnick LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

PATHWAY CAMP MITNICK LLC

Practice address

4436 Calumet Loop
Jasper, AL 35501-7845

Phone

(205) 600-5265

NPI assigned

Jul 30, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Alesha Booth

Title

Chief Financial Officer

Phone

(334) 464-5824

Specialties & licenses 1

Addresses

Tax ID family

Pathway Camp Mitnick LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pathway Camp Mitnick LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Jasper, AL
  • NPI 1306662903
  NPD tax ID

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1588587430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311206",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363311206",
            "telephone_number": "205-600-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 CALUMET LOOP",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355017845",
            "telephone_number": "205-600-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY CAMP MITNICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "ALESHA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "334-464-5824",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela D. Robinson
• Kristina Paradise, MA
• Ben E Parrish, M.D.
• Brinali Patel
• Pathway Camp Mitnick LLC
• Allie Patterson
• Barbara H Paulman, MLT,ASCP
• Bridget Perkins, MA
• Ashley Nicole Perry, ALC
• Jack R Perry, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Jasper, AL
• Providers in Jasper, AL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.