Healthcare Provider Details

I. General information

NPI: 1881507176
Provider Name (Legal Business Name): PATHWAY TO PURPOSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1624 SYCAMORE ST
NORTH LITTLE ROCK AR
72114-3441
US

IV. Provider business mailing address

1624 SYCAMORE ST
NORTH LITTLE ROCK AR
72114-3441
US

V. Phone/Fax

Practice location:
  • Phone: 501-412-9639
  • Fax:
Mailing address:
  • Phone: 501-412-9639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHARLOTTE R WRIGHT
Title or Position: OWNER/AUTHORIZED OFFICIAL
Credential:
Phone: 501-412-9639