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Organization
PAVING THE WAY TRANSITIONAL HOUSING INC
Active
Organization
PAVING THE WAY TRANSITIONAL HOUSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN KENNEDY (PRESIDENT)
(317) 223-1000
Entity
Organization
Contact information
Practice address
4710 E 30TH ST, INDIANAPOLIS, IN 46218-3109
(317) 223-1000
Mailing address
1624 N LESLEY AVE, INDIANAPOLIS, IN 46218-5046
(317) 223-1000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
NULL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
NULL
163WC0400X
Case Management Registered Nurse
—
—
170300000X
Genetic Counselor (M.S.)
—
NULL
170300000X
Genetic Counselor (M.S.)
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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