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General NPI Number Information
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NPI Number | 1043083942
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO WELLNESS LLC
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Dates
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Enumeration Date | 11/02/2023
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 65 GERMANTOWN CT, SUITE 207
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City | CORDOVA
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State | TN
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Zip | 38018-4258
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Country | US
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Telephone | 901-878-3332
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Fax | 901-350-7790
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Provider Business Mailing Address
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Address Line | 65 GERMANTOWN CT 207
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City | CORDOVA
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State | TN
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Zip | 38018-4258
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Country | US
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Telephone | 901-878-3332
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Fax | 901-350-7790
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Authorized Official
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Title or Position | CEO
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Name | JOHN PEARSON REDMOND
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Credential | APRN
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Telephone | 901-870-0258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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