{
"Npi": {
"NPI": "1750237491",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GUIDING PATH SUPPORT SERVICES LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15 SAN BONITA WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAVANA",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32333-3357",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "850-328-4662",
"MailingAddressFaxNumber": "407-472-9784",
"FirstLinePracticeLocationAddress": "15 SAN BONITA WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAVANA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32333-3357",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "850-328-4662",
"PracticeLocationAddressFaxNumber": "407-472-9784",
"EnumerationDate": "03/05/2026",
"LastUpdateDate": "03/05/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GRIFFIN",
"AuthorizedOfficialFirstName": "RONNETTE",
"AuthorizedOfficialMiddleName": "MICHELLE",
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "850-328-4662",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "320900000X",
"TaxonomyName": "Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}