A Path Forward Behavioral Health, LLC.
Organization Active NPI Community/Behavioral Health Agency · Roanoke, VA
NPI 1851910046 · NPPES record last updated Apr 9, 2020
Key facts
- NPI
- 1851910046
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- A PATH FORWARD BEHAVIORAL HEALTH, LLC.
- Practice address
- 101 Church Ave SW
Roanoke, VA 24011-1922 - Phone
- (336) 986-4276
- NPI assigned
- Apr 9, 2020
- Organization subpart
- No
Authorized official
- Name
- David Watkins, MBA
- Title
- Ceo
- Phone
- (336) 986-4276
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
101 Church Ave SW
Roanoke, VA 24011-1922
Mailing address
101 Church Ave SW # 2586
Roanoke, VA 24011-1922
Phone (336) 986-4276
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.