Provider Demographics
NPI:1407137839
Name:NEW PATHWAYS, LLC
Entity Type:Organization
Organization Name:NEW PATHWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:ONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:605-545-4617
Mailing Address - Street 1:1010 SOO SAN DR STE 202
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-5912
Mailing Address - Country:US
Mailing Address - Phone:605-545-4617
Mailing Address - Fax:605-716-1924
Practice Address - Street 1:1010 SOO SAN DR STE 202
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-5912
Practice Address - Country:US
Practice Address - Phone:605-545-4617
Practice Address - Fax:605-716-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD LPCMH2020101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty