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General NPI Number Information
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NPI Number | 1982758215
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO LIFE, INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1015 CONFERENCE DR
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City | GREENVILLE
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State | NC
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Zip | 27858-5969
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Country | US
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Telephone | 252-695-0269
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Fax | 252-413-0526
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Provider Business Mailing Address
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Address Line | 1015 CONFERENCE DR
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City | GREENVILLE
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State | NC
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Zip | 27858-5969
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Country | US
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Telephone | 252-695-0269
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Fax | 252-413-0526
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Authorized Official
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Title or Position | PRESIDENT
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Name | ONTARIO CHAPPELL
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Credential |
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Telephone | 252-695-0269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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