Pathfinder Coaching Network, LLC.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PATHFINDER COACHING NETWORK, LLC.

Practice address

3675 Crestwood Pkwy NW Ste 400
Duluth, GA 30096-5054

Phone

(229) 234-2223

NPI assigned

Mar 1, 2023

Last updated

Mar 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daren Waters Sr., EDD, MDIV, MS, LMFTNPI 1548551153

Title

Owner/Ceo

Phone

(229) 234-2223

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daren Waters Sr., EDD, MDIV, MS, LMFT

  • Marriage & Family Therapist
  • Valdosta, GA
  • NPI 1548551153

  Pastoral

  NPD Authorized official

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1780383638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 CRESTWOOD PKWY NW STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965054",
            "telephone_number": "229-234-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 CRESTWOOD PKWY NW STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965054",
            "telephone_number": "229-234-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER COACHING NETWORK, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "DAREN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "229-234-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "EDD, MDIV, MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaan Patel, DO
• Shivam Hiteshkumar Patel
• Shrinesh V. Patel, M.D.
• Sweta Patel
• Path PT
• Adam Bryant Patterson
• Caroline Rebekah Paulk, OTD, OTR/L
• Christie Payne, RD, LPC
• Iseyah Payne, RBT
• Linda Lee Peabody, NP

• Marriage & Family Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.