NPI Code Details Logo

NPI 1679495402

NPI 1679495402 : FREEDOM PATH TRANSITIONAL HOUSING LLC : CHARLOTTE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1679495402
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FREEDOM PATH TRANSITIONAL HOUSING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/25/2026
-----------------------------------------------------
    Last Update Date     |    07/25/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3027 REMINGTON ST 
-----------------------------------------------------
    City                 |    CHARLOTTE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28216-4458
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-859-4248
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4135 RICHARD ANDREW DR 
-----------------------------------------------------
    City                 |    MATTHEWS
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28105-5949
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-859-4248
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MRS. ERIKA  ROBINSON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    786-859-4248
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    320800000X
-----------------------------------------------------
    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.