Organization
EMPOWERED PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE T THOMPSON (BILLING)
(404) 438-5751
Entity
Organization
Contact information
Practice address
3994 VILLA LAKE RD, POWDER SPRINGS, GA 30127-5051
(470) 837-0175
Mailing address
3994 VILLA LAKE RD, POWDER SPRINGS, GA 30127-5051
(850) 688-6761
(678) 840-3887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/23/2022
Last updated
01/26/2023
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