# PAVING THE WAY TRANSITIONAL HOUSING INC

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

## Provider details

- **NPI number:** 1720891187
- **Authorized official:** CARMEN KENNEDY (PRESIDENT)
- **Authorized official phone:** (317) 223-1000

## Contact information

- **Practice address:** 4710 E 30TH ST, INDIANAPOLIS, IN 46218-3109
- **Practice address phone:** (317) 223-1000
- **Mailing address:** 1624 N LESLEY AVE, INDIANAPOLIS, IN 46218-5046
- **Mailing address phone:** (317) 223-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 163WA2000X | Administrator Registered Nurse | — | NULL | — |
| 163WA2000X | Administrator Registered Nurse | — | — | — |
| 170300000X | Genetic Counselor (M.S.) | — | NULL | — |
| 170300000X | Genetic Counselor (M.S.) | — | — | — |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 01/29/2025
- **Last updated:** 02/02/2025
