Healthcare Provider Details

I. General information

NPI: 1114851086
Provider Name (Legal Business Name): PATHWAYS THERAPY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 GROSVENOR AVE
EAST PROVIDENCE RI
02914-3615
US

IV. Provider business mailing address

181 GROSVENOR AVE
EAST PROVIDENCE RI
02914-3615
US

V. Phone/Fax

Practice location:
  • Phone: 401-837-2434
  • Fax:
Mailing address:
  • Phone: 401-837-2434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ALTONIECE FERNANDES
Title or Position: CLINICIAN/OWNER
Credential: LCSW
Phone: 561-502-3340