Healthcare Provider Details

I. General information

NPI: 1134023641
Provider Name (Legal Business Name): NEOPATHWELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 BELGRAVE COURT
BIRMINGHAM AL
35242
US

IV. Provider business mailing address

505 20TH ST N STE 1220
BIRMINGHAM AL
35203-4606
US

V. Phone/Fax

Practice location:
  • Phone: 205-202-0102
  • Fax:
Mailing address:
  • Phone: 205-202-0102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JONATHAN WILLIAMS
Title or Position: OWNER
Credential: LPC
Phone: 205-835-1146