PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH (NPI# 1306908330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306908330 |
| Entity Type | Organization |
| Organization Name | PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH |
| Other Organization Name | CARROLL IGR |
| Practice Address |
403 Northlake Dr Carrollton GA 30117-1883 |
| Mailing Address |
122 Gordon Commercial Dr # D Lagrange GA 30240-5740 |
| Practice Telephone | 7708360472 |
| Practice Fax Number | 7708302266 |
| Mailing Telephone | 7068454045 |
| Mailing Fax Number | 7068454312 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. JOAN K TURNER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7068454045 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Carroll IGR | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1851455638 | Pathways Center for Behavioral & Developmental Growth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Northlake Dr, Carrollton, GA 30117-1883 | 2006-12-19 |
| 1114080488 | Pathways Center for Behavioral & Developmental Growth | Community Based Residential Treatment Facility, Mental Illness | 115 Mitchell Ave Apt 7, Lagrange, GA 30240-2257 | 2006-12-18 |
| 1417019431 | Pathways Center for Behavioral & Developmental Growth | Day Training, Developmentally Disabled Services | 1710 Shorewood Dr, Lagrange, GA 30240-5732 | 2006-12-15 |
| 1316001456 | Pathways Center for Behavioral & Developmental Growth | Day Training, Developmentally Disabled Services | 1710 Shorewood Dr, Lagrange, GA 30240-5732 | 2006-12-21 |
| 1598827537 | Pathways Center for Behavioral & Developmental Growth | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 153 Independence Dr, Carrollton, GA 30116-9000 | 2006-12-15 |
| Street Address |
403 NORTHLAKE DR |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-1883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366571739 | Spring Manor of Carroll County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Spring St, Carrollton, MO 64633-1682 | 2007-03-03 |
| 1679602049 | Board of Expanded Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1410 N Main St, Carrollton, MO 64633-1933 | 2007-03-03 |
| 1851439947 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2245 Midway Rd, Suite 300, Carrollton, TX 75006-4960 | 2007-02-02 |
| 1851455638 | Pathways Center for Behavioral & Developmental Growth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Northlake Dr, Carrollton, GA 30117-1883 | 2006-12-19 |
| 1124188446 | Commitment 2 Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2117 Dover Dr, Carrollton, TX 75006-2926 | 2006-12-08 |
| 1295165181 | Housing By Association for Retarded Citizens, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 200 Alton Estes Dr, Carrollton, GA 30117-5102 | 2013-11-14 |
| 1356470637 | Spring Manor of Carroll County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 212 Spring St, Carrollton, MO 64633-1682 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385862 | Hickory Log Vocational School Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3680 Highway 411 Ne, White, GA 30184-2427 | 2020-10-28 |
| 1801403050 | Safe Haven Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10875 Abercorn St Apt 132, Savannah, GA 31419-1843 | 2020-09-30 |
| 1659987931 | Pinkies Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Self St, Warner Robins, GA 31088-5506 | 2020-09-22 |
| 1629680293 | Caregiver Ga, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3736 Executive Center Dr Ste B, Augusta, GA 30907-2360 | 2020-08-17 |
| 1730799073 | Victory Won Counseling and Res Care Prof. Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5014 Snapfinger Woods Dr, Decatur, GA 30035-4003 | 2020-08-02 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1467013821 | Csb of East Central Ga | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5101 Parnell Way, Martinez, GA 30907-8896 | 2019-06-26 |
| 1013474915 | Community Service Board of East Central Georgia | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1715 Lawerence Rd, Hephzibah, GA 30815-4445 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.