Provider Demographics
NPI:1891401162
Name:PATHWAYS TO ENLIGHTENMENT, LLC
Entity Type:Organization
Organization Name:PATHWAYS TO ENLIGHTENMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEIGH
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:GOGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, NCC
Authorized Official - Phone:256-328-4501
Mailing Address - Street 1:430 GEORGE WALLACE DR # 108
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-2280
Mailing Address - Country:US
Mailing Address - Phone:256-792-8501
Mailing Address - Fax:256-646-2262
Practice Address - Street 1:525 TYLER ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-2031
Practice Address - Country:US
Practice Address - Phone:256-792-8501
Practice Address - Fax:256-646-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty