Provider Demographics
NPI:1730616269
Name:STRATEGIC PATH SERVICES, LLC
Entity type:Organization
Organization Name:STRATEGIC PATH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOKARD-MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:864-921-8282
Mailing Address - Street 1:135 PRESTWICK WAY S
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6301
Mailing Address - Country:US
Mailing Address - Phone:864-921-8282
Mailing Address - Fax:
Practice Address - Street 1:135 PRESTWICK WAY S
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6301
Practice Address - Country:US
Practice Address - Phone:864-921-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA16082250OtherSTATE CONTROL NUMBER