Provider Demographics
NPI:1306092671
Name:POSITIVE PATHWAYS, INC
Entity type:Organization
Organization Name:POSITIVE PATHWAYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DELESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-543-1870
Mailing Address - Street 1:1301 OHIO ST
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-2313
Mailing Address - Country:US
Mailing Address - Phone:757-543-1870
Mailing Address - Fax:757-502-8139
Practice Address - Street 1:1301 OHIO ST
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-2313
Practice Address - Country:US
Practice Address - Phone:757-543-1870
Practice Address - Fax:757-502-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA105705001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health