Organization · NPI-2

A New Pathway LLC

In Home Supportive Care · Charlotte, NC

NPI number1578025383

StatusActive

Last updated in NPPESSep 18, 2024

Details

NPI: 1578025383
Entity type: Organization (NPI-2)
Legal business name: A New Pathway LLC
Organization subpart: No
Enumeration date: Apr 1, 2019
Certification date: Sep 18, 2024
Last updated: Sep 18, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
251S00000X	Community/Behavioral Health	–	–
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–
322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	–	–

Practice location

1935 J N Pease Pl Ste 102
Charlotte, NC 28262-4541

Phone 704-616-0694 · Fax 980-422-0336

Mailing address

1935 J N Pease Pl Ste 102
Charlotte, NC 28262-4541

Phone 704-616-0694 · Fax 980-422-0336

Authorized official

Natiela Stuckes
Ceo
9803553737

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