Organization
INNER PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMANUEL RODRIGUEZ (CEO)
(910) 644-4584
Entity
Organization
Contact information
Practice address
351 WAGONER DR STE 350, FAYETTEVILLE, NC 28303-4688
(910) 644-4584
(910) 321-8563
Mailing address
717 THRUSH DR, VASS, NC 28394-8653
(252) 202-3192
(910) 321-8563
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1579
NC
Other
Enumeration date
09/02/2015
Last updated
02/04/2016
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