Organization
PATHWAYS TO RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATMATA TARAWALLY (CEO)
(602) 394-9516
Entity
Organization
Contact information
Practice address
14040 N CAVE CREEK RD STE 205, PHOENIX, AZ 85022-6179
(602) 394-9516
Mailing address
14040 N CAVE CREEK RD STE 205, PHOENIX, AZ 85022-6179
(602) 394-9516
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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