Organization
PHOENIX PATHWAYS LLC.
Active
Organization
PHOENIX PATHWAYS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONITA MCKINNEY (CEO)
(470) 715-3588
Entity
Organization
Contact information
Practice address
175 LANGLEY DRIVE, BUILDING E, SUITE 1, LAWRENCEVILLE, GA 30046
(470) 715-3588
Mailing address
175 LANGLEY DRIVE, BUILDING E, SUITE 1, LAWRENCEVILLE, GA 30046
(470) 715-3588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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