Provider Demographics
NPI:1427763614
Name:PATHWAY TO NEW BEGINNINGS LLC
Entity type:Organization
Organization Name:PATHWAY TO NEW BEGINNINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMMA
Authorized Official - Middle Name:SERWAA
Authorized Official - Last Name:ASHITEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-903-5051
Mailing Address - Street 1:3660 E UNIVERSITY DR STE 6B
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-6960
Mailing Address - Country:US
Mailing Address - Phone:602-903-5051
Mailing Address - Fax:
Practice Address - Street 1:3660 E UNIVERSITY DR STE 6B
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-6960
Practice Address - Country:US
Practice Address - Phone:602-903-5051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility