Healthcare Provider Details
I. General information
NPI: 1407781669
Provider Name (Legal Business Name): GROWTH PATH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
608 BADGER LN
MILLS WY
82644
US
IV. Provider business mailing address
PO BOX 731
MILLS WY
82644-0731
US
V. Phone/Fax
- Phone: 307-439-3990
- Fax:
- Phone: 307-439-3990
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARBI
HAMSHER
Title or Position: OWNER/MANAGER
Credential:
Phone: 307-439-3990