Pathway to Peace Addiction Recovery and Life Coaching, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LISAC-11886 Issued in AZ

Legal business name

PATHWAY TO PEACE ADDICTION RECOVERY AND LIFE COACHING, LLC

Practice address

45305 W Horse Mesa Rd
Maricopa, AZ 85139-9128

Phone

(520) 280-8831

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Frederick Thomas Westby, LISAC

Title

Owner

Phone

(520) 280-8831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1679995260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45305 W HORSE MESA RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399128",
            "telephone_number": "520-280-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45305 W HORSE MESA RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399128",
            "telephone_number": "520-280-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO PEACE ADDICTION RECOVERY AND LIFE COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "WESTBY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-280-8831",
        "authorized_official_credential": "LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LISAC-11886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.