Provider Demographics
NPI:1922431691
Name:PATHWAYS
Entity Type:Organization
Organization Name:PATHWAYS
Other - Org Name:HOPES CORNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHARGE NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:HATTIE
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:I
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:706-775-0544
Mailing Address - Street 1:756 WOODBURY HWY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30222-1514
Mailing Address - Country:US
Mailing Address - Phone:706-775-0544
Mailing Address - Fax:706-672-3306
Practice Address - Street 1:756 WOODBURY HWY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:GA
Practice Address - Zip Code:30222-1514
Practice Address - Country:US
Practice Address - Phone:706-775-0544
Practice Address - Fax:706-672-3306
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN0185261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health