Provider Demographics
NPI:1801524624
Name:NEW PATH PLLC
Entity type:Organization
Organization Name:NEW PATH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BILBREY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:423-215-1862
Mailing Address - Street 1:PO BOX 4956
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-4956
Mailing Address - Country:US
Mailing Address - Phone:423-215-1862
Mailing Address - Fax:377-356-1693
Practice Address - Street 1:2900 TAZEWELL PIKE STE G
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1880
Practice Address - Country:US
Practice Address - Phone:423-215-1862
Practice Address - Fax:877-356-1693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty