Healthcare Provider Details

I. General information

NPI: 1902713936
Provider Name (Legal Business Name): OPEN ARMS PATHWAYS BEHAVIORAL HEALTH AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3019 ROYALTON DR
GREENSBORO NC
27406-6225
US

IV. Provider business mailing address

3019 ROYALTON DR
GREENSBORO NC
27406-6225
US

V. Phone/Fax

Practice location:
  • Phone: 336-210-2734
  • Fax:
Mailing address:
  • Phone: 336-210-2734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JENNIFER N BEATTY
Title or Position: CEO
Credential: BEATTY
Phone: 336-210-2734