Provider Demographics
NPI:1861249542
Name:PATHWAYS CONNECT LLC
Entity type:Organization
Organization Name:PATHWAYS CONNECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-909-3313
Mailing Address - Street 1:PO BOX 1533
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-1008
Mailing Address - Country:US
Mailing Address - Phone:757-469-9882
Mailing Address - Fax:
Practice Address - Street 1:1485 GENERAL BOOTH BLVD STE 117
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-5123
Practice Address - Country:US
Practice Address - Phone:757-469-9882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health