Organization
PATHWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY COOGLE HUBBARD LPC (OWNER)
(706) 940-2163
Entity
Organization
Contact information
Practice address
1329 WYNNTON RD, COLUMBUS, GA 31906-2919
(706) 940-2163
Mailing address
1329 WYNNTON RD, COLUMBUS, GA 31906-2919
(706) 940-2163
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
009586
GA
Other
Enumeration date
09/13/2017
Last updated
07/07/2021
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