Pathways Adult Living Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

124381 Issued in TX

Legal business name

PATHWAYS ADULT LIVING INC

Practice address

921 W Cannon St
Fort Worth, TX 76104-3026

Phone

(817) 810-0606

Fax

(817) 810-0616

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Lynda Joyce Bryant

Title

Executive Director

Phone

(817) 726-2974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1619207206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043026",
            "telephone_number": "817-810-0606",
            "fax_number": "817-810-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043026",
            "telephone_number": "817-810-0606",
            "fax_number": "817-810-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS ADULT LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "817-726-2974",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "124381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandana Patel
• Varsha Patel, RPH
• Vishal Chandrakant Patel, M.D.
• Yagnik Patel
• Muralidhar Pathikonda, M.D.
• Pathways Counseling PLLC
• Pathways Residential and Support Services
• Pathways Unlimited LLC
• Pathways Unlimited, LLC
• Raju Amaregouda Patil, M.D., M.P.H.

• Mental Illness Community Based Residential Treatment Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.