PRIDE PATHWAYS PROGRAM – NPI #1023870094
Community/Behavioral Health

PRIDE PATHWAYS PROGRAM is an agency located in LOS ANGELES, CA. NPPES recently assigned the NPI number 1023870094 to PRIDE PATHWAYS PROGRAM on January 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 251S00000X from the Health Care Provider Taxonomy code set, which is classified as Community/Behavioral Health.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIDE PATHWAYS PROGRAM below.

NPI Profile for
PRIDE PATHWAYS PROGRAM

NPI Number
1023870094
Created

(about a month ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIDE PATHWAYS PROGRAM
Primary location
770 S GRAND AVE APT 2062
LOS ANGELES, CA 90017-3931
Phone: (310) 602-7586 Fax:
Mailing address
3705 W PICO BLVD # 967
LOS ANGELES, CA 90019-3451
Phone: (310) 602-7586 Fax:
Organization Subpart
No
Authorized Official
BRENTON LIPSCOMB
CHAIR PERSON
Phone: (256) 345-9006
Updated
Certification Date
Jan 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251S00000X
- Community/Behavioral Health (Primary)
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.