Healthcare Provider Details

I. General information

NPI: 1902717705
Provider Name (Legal Business Name): THE PATIENT PATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2038 BOSTIC ST
SPRINGFIELD OH
45506-3306
US

IV. Provider business mailing address

2038 BOSTIC ST
SPRINGFIELD OH
45506-3306
US

V. Phone/Fax

Practice location:
  • Phone: 937-717-7600
  • Fax:
Mailing address:
  • Phone: 937-717-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERRY RENAE GRIFFETH
Title or Position: OWNER/CEO
Credential: MHA, BCPA
Phone: 937-561-5486