MEDICARE: 7 SUMMIT PATHWAYS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1598681488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	7 SUMMIT PATHWAYS

Provider Business Mailing Address
First Line	:	1551 QUARRIER ST
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-2407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 QUARRIER ST
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-2407
Country	:	US
Telephone Number	:	304-208-0707
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	LORETTA ANN BOSTIC
Credential	:	APRN, PMHNP-BC
Telephone Number	:	304-208-0707

Provider Enumeration Date	:	06/25/2026
Last Update Date	:	06/25/2026

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Directions to “7 SUMMIT PATHWAYS ” Practice Location

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