Organization
EMPOWERMENT PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA GRAHAM (OWNER)
(904) 990-4211
Entity
Organization
Contact information
Practice address
145 ASCEND CIR APT 3102, SAINT JOHNS, FL 32259-4173
(904) 990-4211
Mailing address
7643 GATE PKWY # 104-716, JACKSONVILLE, FL 32256-3092
(904) 990-4211
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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