# PROGRESSIVE PATHWAYS PSYCHIATRY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285479238
- **Authorized official:** EDOGHOGHO EDOSONMWAN (NP)
- **Authorized official phone:** (469) 442-9930

## Contact information

- **Practice address:** 1428 E ARLINGTON AVE, FORT WORTH, TX 76104-6124
- **Practice address phone:** (469) 442-9930
- **Mailing address:** 1428 E ARLINGTON AVE, FORT WORTH, TX 76104-6124
- **Mailing address phone:** (469) 442-9930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2024
- **Last updated:** 08/07/2024