Healthcare Provider Details

I. General information

NPI: 1508515305
Provider Name (Legal Business Name): NEW PATH HEALTH CAREER CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3385 MAIN ST
ADAMSVILLE AL
35005-2514
US

IV. Provider business mailing address

3385 MAIN ST
ADAMSVILLE AL
35005-2514
US

V. Phone/Fax

Practice location:
  • Phone: 205-593-4592
  • Fax:
Mailing address:
  • Phone: 205-593-4592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MARQUISCIA MICHELLE BROWN
Title or Position: OWNER/PROGRAM DIRECTOR
Credential: RN
Phone: 205-593-4592