Pathway to Success LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PATHWAY TO SUCCESS LLC

Practice address

122 S Jones St
Petersburg, VA 23803-4108

Phone

(804) 986-0365

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Mieko A Taliaferro

Title

Ceo

Phone

(804) 986-0365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1740005545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S JONES ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034108",
            "telephone_number": "804-986-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S JONES ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034108",
            "telephone_number": "804-986-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "TALIAFERRO",
        "authorized_official_first_name": "MIEKO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-986-0365",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaykumar A Patel
• Kapil Patel, PHARMD
• Neha D Patel, MD
• Shrinal Suryakant Patel, P.A.-C
• Pathfinders Children and Youth Services, LLC
• Pathways-VA, Inc.
• Patriotmed of Kansas, P.a.
• Deijah Patterson
• James Lloyd Patterson Jr., MD
• Brooke Diane Payne, LCSW, CPSC

• Mental Illness Community Based Residential Treatment Facility in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.