Radical Pathways Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RADICAL PATHWAYS COUNSELING LLC

Practice address

216 Sailors Dr Ste 127
Ellijay, GA 30540-3747

Phone

(706) 669-3260

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Stephen Marks, LPCNPI 1578183034

Title

Owner

Phone

(706) 669-3260

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Stephen Clay Marks, LPC

  • Professional Counselor
  • Ellijay, GA
  • NPI 1578183034
  NPD Authorized official

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1649962093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 DOGWOOD DR",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405527",
            "telephone_number": "706-669-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SAILORS DR STE 127",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403747",
            "telephone_number": "706-669-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADICAL PATHWAYS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-669-3260",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Kaye Prosser, OT
• Amanda R Pugh, PHARMD., RPH
• Purvis Pharmacies PC (Huff's Drug Store)
• Purvis Pharmacies, P.C. (Huff's Drug Store)
• Steven Allen Purvis, RPH
• William George Raisig, MD
• Frank Austin Randall, LPC
• Sheri Faye Ray, CNP
• RDSD Occupational Therapy Services LLC
• Rec Leasing LLC

• Adult Mental Health Clinic/Center in Ellijay, GA
• Providers in Ellijay, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

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