Healthcare Provider Details

I. General information

NPI: 1184140253
Provider Name (Legal Business Name): THE RIGHT PATH FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 W. LINCOLN HIGHWAY STE. 5
MERRILLVILLE IN
46410
US

IV. Provider business mailing address

1205 W LINCOLN HWY STE 5
MERRILLVILLE IN
46410-5336
US

V. Phone/Fax

Practice location:
  • Phone: 219-525-4577
  • Fax:
Mailing address:
  • Phone: 219-525-4577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number87001213A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER VICKERS
Title or Position: CEO/PARTNER
Credential: LCAC
Phone: 219-525-4577