Organization
PATHWAYS 2 SUCCESS NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENEIKA M ALFORD (CO-OWNER)
(336) 471-5342
Entity
Organization
Contact information
Practice address
3720 FIELD SEDGE DR, WINSTON SALEM, NC 27107-1848
(336) 542-1789
Mailing address
PO BOX 417, PLEASANT GARDEN, NC 27313-0417
(336) 542-1789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20189
NC
101YP2500X
Professional Counselor
A10194
NC
1041C0700X
Clinical Social Worker
P009428
NC
251S00000X
Community/Behavioral Health Agency
P009428
NC
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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