Organization
A LEGACY OF ABUNDANT PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'BRENA SIMMONS (OWNER)
(614) 625-9912
Entity
Organization
Contact information
Practice address
2751 CHATWOOD LOOP, BLACKLICK, OH 43004-3414
(614) 625-9912
(614) 625-9912
Mailing address
2751 CHATWOOD LOOP, BLACKLICK, OH 43004-3414
(614) 625-9912
(614) 625-9912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
07/17/2025
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