Provider Demographics
NPI:1336293216
Name:MAGBY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MAGBY ASSOCIATES, INC.
Other - Org Name:PATHWAYS TO EMPOWERMENT EDUCATIONAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BESSIE
Authorized Official - Middle Name:MCNEILL
Authorized Official - Last Name:MAGBY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:910-630-3041
Mailing Address - Street 1:1446 PAMALEE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-3928
Mailing Address - Country:US
Mailing Address - Phone:910-630-3041
Mailing Address - Fax:
Practice Address - Street 1:1446 PAMALEE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-3928
Practice Address - Country:US
Practice Address - Phone:910-630-3041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NCMHL-026-763251C00000X
NCMHL-026-804251C00000X
NCMHL-026-635320600000X
NCMHL-026-633320600000X
NCMHL-026-667320600000X
NCMHL-026-636320600000X
NCMHL-026-684320600000X
NCMHL-026-715320600000X
NCMHL-026-833320600000X
NCMHL-026-634320600000X
NCMHL-026-773320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental IllnessGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804540Medicaid
NC3409124Medicaid
NC7804393Medicaid
NC7840581Medicaid
NC7804391Medicaid
NC7804924Medicaid
NC8301377Medicaid
NC7804392Medicaid
NC7804408Medicaid
NC7801870Medicaid
NC6006303Medicaid
NC7804334Medicaid