Provider Demographics
NPI:1245027754
Name:INDEPENDENT PATHWAYS LLC
Entity type:Organization
Organization Name:INDEPENDENT PATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAKECHIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-348-3477
Mailing Address - Street 1:2578 REAGAN AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3267
Mailing Address - Country:US
Mailing Address - Phone:757-348-3477
Mailing Address - Fax:757-348-3477
Practice Address - Street 1:2578 REAGAN AVE
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3267
Practice Address - Country:US
Practice Address - Phone:757-348-3477
Practice Address - Fax:757-348-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care