PATHWAYS OF ARIZONA, LLC


Address: 2830 W Glendale Ave, Phoenix, AZ 85051
Phone: 6024554626

PATHWAYS OF ARIZONA, LLC (NPI# 1336632496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336632496
Entity Type Organization
Organization Name PATHWAYS OF ARIZONA, LLC
Practice Address 2830 W Glendale Ave
Phoenix
AZ 85051
Mailing Address 1161 N El Dorado Pl
Tucson
AZ 85715-4607
Practice Telephone 6024554626
Mailing Telephone 5207487108
Enumeration Date 2018-06-12
Last Update Date 2020-04-07
Authorized Official Name NANCY POE (CONTRACTS ADMINISTRATOR)
Authorized Official Telephone 5205701460
Is Organization Subpart Y
Parent Organization Name PATHWAYS HEALTH AND COMMUNITY SUPPORT,LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 000285 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457645038 Pathways of Arizona, LLC Clinic/Center 3818 W. 16th St, Yuma, AZ 85364 2011-06-01
1336249291 Pathways of Arizona, LLC Clinic/Center 3295 W Ina Rd, Suite 150 & 200, Tucson, AZ 85741 2006-09-22
1275845646 Pathways of Arizona, LLC Clinic/Center 1161 N El Dorado Pl, Suite 103, Tucson, AZ 85715 2010-07-13

Office Location

Street Address 2830 W GLENDALE AVE
City PHOENIX
State AZ
Zip Code 85051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588704647 Julie K Andersen Occupational Therapist 2830 W Glendale Ave, Suite 28, Phoenix, AZ 85051-8400 2007-02-07
1740599018 Child & Family Resources, Inc Speech-Language Pathologist 2830 W Glendale Ave, Suite28, Phoenix, AZ 85051-8400 2010-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184250383 Jhajaira Elizabeth Cadenas Optometrist 3937 W Northview Ave, Phoenix, AZ 85051 2020-03-19
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1518459080 Addie Robin Diroberts Counselor 10240 W. 31st Ave, Phoenix, AZ 85051 2018-05-31
1093239816 Jason Allan Parker Licensed Practical Nurse 3310 West Cheryl Drive, Phoenix, AZ 85051 2017-08-02
1588019145 Vanessa Eloise Hernandez Counselor 10000 N. 31st Ave., Applied Behavioral Interventions, Pllc, Phoenix, AZ 85051 2016-05-02
1912230178 Mozelle Barr Martin Counselor 3734 W. Vista Ave., Phoenix, AZ 85051 2009-09-04
1316184542 Tom Sowash Od & Associates PC Optometrist 9617 North Parkway West, #1160, Phoenix, AZ 85051 2009-01-09
1609026913 Luma Z Sayegh Dentist 7012 N 35th Ave, Suite 1, Phoenix, AZ 85051 2008-09-23
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1356805816 Arizonas New Hope Clinic/Center 10000 N 31st Ave Ste D304g, Phoenix, AZ 85051-9582 2019-01-29
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1194135152 Connectionsaz, LLC Clinic/Center 1201 S 7th Ave Ste 150, Phoenix, AZ 85007-4075 2014-04-30
1770888646 Southwest Behavioral Health Services, Inc. Clinic/Center 1601 W Desert Cove Ave, Phoenix, AZ 85029-5023 2011-01-24
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Competitor

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City PHOENIX
Zip Code 85051

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Dataset Information

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.

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