Provider Demographics
NPI:1437581683
Name:NEW PATHWAYS LLC
Entity type:Organization
Organization Name:NEW PATHWAYS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CARROL
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-682-7797
Mailing Address - Street 1:223 N 3RD ST STE 206
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-6686
Mailing Address - Country:US
Mailing Address - Phone:918-682-7797
Mailing Address - Fax:918-686-8881
Practice Address - Street 1:223 N 3RD #206
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-6609
Practice Address - Country:US
Practice Address - Phone:918-682-7797
Practice Address - Fax:918-686-8881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW PATHWAYS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4131251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health