Provider Demographics
NPI:1942084561
Name:MULTIPLE PATHWAYS TO RECOVERY LLC
Entity Type:Organization
Organization Name:MULTIPLE PATHWAYS TO RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MINKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKTEMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-939-3393
Mailing Address - Street 1:634 COBBLESTONE RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-8749
Mailing Address - Country:US
Mailing Address - Phone:317-939-3393
Mailing Address - Fax:
Practice Address - Street 1:3039 N POST RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-6543
Practice Address - Country:US
Practice Address - Phone:317-939-3393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty