Provider Demographics
NPI:1568344158
Name:PATHWAYS TO INDEPENDENCE
Entity type:Organization
Organization Name:PATHWAYS TO INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-592-7503
Mailing Address - Street 1:4225 APPIAN WAY W
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1458
Mailing Address - Country:US
Mailing Address - Phone:614-592-7503
Mailing Address - Fax:
Practice Address - Street 1:4225 APPIAN WAY W
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1458
Practice Address - Country:US
Practice Address - Phone:614-592-7503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services