Healthcare Provider Details

I. General information

NPI: 1568318228
Provider Name (Legal Business Name): PATHWAYS MENTAL HEALTH AND WELLNESS, P.L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 IRIS ST
MANCHESTER NH
03102-2718
US

IV. Provider business mailing address

971 IRIS ST, MANCHESTER, NH
MANCHESTER NH
03102
US

V. Phone/Fax

Practice location:
  • Phone: 617-827-1877
  • Fax:
Mailing address:
  • Phone: 781-816-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. GERALDINE CALLAHAN
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 781-816-7080