MEDICARE: RENEWED PATHWAYS LLC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	101YS0200X	School Counselor
4	103TA0400X	Addiction (Substance Use Disorder) Psychologist
5	1041S0200X	School Social Worker
6	103TB0200X	Cognitive & Behavioral Psychologist
7	103TC2200X	Clinical Child & Adolescent Psychologist
8	103TP2701X	Group Psychotherapy Psychologist
9	1041C0700X	Clinical Social Worker
10	251S00000X	Community/Behavioral Health Agency
11	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
12	261QM1300X	Multi-Specialty Clinic/Center
13	320800000X	Mental Illness Community Based Residential Treatment Facility
14	323P00000X	Psychiatric Residential Treatment Facility
15	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1952265183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENEWED PATHWAYS LLC.

Provider Business Mailing Address
First Line	:	6736 BILL CARRUTH PKWY
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-3786
Country	:	US
Telephone Number	:	470-728-6147
Fax Number	:

Provider Business Practice Location Address
First Line	:	6736 BILL CARRUTH PKWY
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-3786
Country	:	US
Telephone Number	:	470-728-6147
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MAKAYLAH S STOKES
Credential	:
Telephone Number	:	336-613-2805

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “RENEWED PATHWAYS LLC. ” Practice Location

Language	Start Address	Practice Location

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