Healthcare Provider Details

I. General information

NPI: 1881371086
Provider Name (Legal Business Name): PASSAGES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2023
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 31ST ST
HUNTINGTON WV
25702-1420
US

IV. Provider business mailing address

2984 COUNTY ROAD 1
SOUTH POINT OH
45680-8832
US

V. Phone/Fax

Practice location:
  • Phone: 304-972-6767
  • Fax:
Mailing address:
  • Phone: 740-479-0067
  • Fax: 304-900-3629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JOSH PARKER
Title or Position: OWNER
Credential:
Phone: 740-479-0067