Pathways Therapy, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003573 Issued in GA

Legal business name

PATHWAYS THERAPY, INC

Doing business as

Holly R Johnson, LCSW

Practice address

1041 Oconee Forest LN
Watkinsville, GA 30677-2323

Phone

(706) 207-7683

Fax

(706) 850-0899

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Holly R Johnson, LCSW

Title

Owner/Director

Phone

(706) 207-7683

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holly R Johnson, LCSW Doing business as

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1962683615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 OCONEE FOREST LN",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772323",
            "telephone_number": "706-207-7683",
            "fax_number": "706-850-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 OCONEE FOREST LN",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772323",
            "telephone_number": "706-207-7683",
            "fax_number": "706-850-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "706-207-7683",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204083042A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly R Johnson, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Koye Parker, NP
• Kelsey Parman, MS BCBA LBA
• Charmi D Patel, MD
• Navin L Patel, MD
• Rima P Patel, FNP
• Morgan Marie Patton-Brown
• Sydney Payne, PT, DPT
• Jeffrey David Pearce, MD
• Daniel Pelletier
• Pemberton & Associates

• Clinical Social Worker in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.