MEDICARE: OPENING PATHS TO ACHIEVEMENT & LEADERSHIP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1356224075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPENING PATHS TO ACHIEVEMENT & LEADERSHIP LLC

Provider Business Mailing Address
First Line	:	1360 E 26TH AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-2210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1234 E 22ND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211-2520
Country	:	US
Telephone Number	:	614-360-6691
Fax Number	:

Authorized Official
Title or Position	:	EMPLOYEE
Name	:	NAAJEE BYRD
Credential	:
Telephone Number	:	614-360-6691

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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Directions to “OPENING PATHS TO ACHIEVEMENT & LEADERSHIP LLC ” Practice Location

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