Healthcare Provider Details

I. General information

NPI: 1194790311
Provider Name (Legal Business Name): ALTERNATIVE PATHS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 NORTHLAND DR SUITE 200A
MEDINA OH
44256-1533
US

IV. Provider business mailing address

246 NORTHLAND DR SUITE 200A
MEDINA OH
44256-1533
US

V. Phone/Fax

Practice location:
  • Phone: 330-725-9195
  • Fax: 330-725-9187
Mailing address:
  • Phone: 330-725-9195
  • Fax: 330-725-9187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JANET THOMPSON
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 330-725-9195