=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922819838
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE PATHWAY, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2025
-----------------------------------------------------
Last Update Date | 06/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7229 MIDLAND TRL W
-----------------------------------------------------
City | HINES
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25958-7042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-992-4721
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7229 MIDLAND TRL W
-----------------------------------------------------
City | HINES
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25958-7042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-992-4727
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST, OWNER
-----------------------------------------------------
Name | MICHAEL ANTHONY GRIGGS
-----------------------------------------------------
Credential | MA, LPC, C-DBT, CCTP
-----------------------------------------------------
Telephone | 304-992-4721
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------