Healthcare Provider Details

I. General information

NPI: 1184512477
Provider Name (Legal Business Name): PATHWAY TO PROGRESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 GARFIELD ST
SAVANNAH GA
31406-5145
US

IV. Provider business mailing address

7320 GARFIELD ST
SAVANNAH GA
31406-5145
US

V. Phone/Fax

Practice location:
  • Phone: 912-844-1176
  • Fax:
Mailing address:
  • Phone: 912-844-1176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDRE J ALEXANDRE
Title or Position: DIRECROR
Credential: LC
Phone: 912-844-1176