# PATHWAYS TO CHANGE, LLC

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

## Provider details

- **NPI number:** 1366807489
- **Authorized official:** DORICE NEIR L.P.C. (LICENSED PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (770) 203-9060

## Contact information

- **Practice address:** 410 PEACHTREE PKWY, BUILDING 400, SUITE 4245, CUMMING, GA 30041-7066
- **Practice address phone:** (770) 203-9060
- **Mailing address:** 410 PEACHTREE PKWY, BUILDING 400, SUITE 4245, CUMMING, GA 30041-7066
- **Mailing address phone:** (770) 203-9060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | LPC008485 | GA | Yes |

## Other

- **Enumeration date:** 12/16/2015
- **Last updated:** 12/16/2015
