| Pathways Center for Behavioral and Developmental Growth | |
|
101 Commerce Plaza Suite 3 Barnesville GA 30204-1680 | |
| (770) 358-5269 | |
| (770) 872-3730 |
| Full Name | Pathways Center for Behavioral and Developmental Growth |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 101 Commerce Plaza, Barnesville, Georgia |
| Authorized Official Name and Position | Jade Russell Benefield (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7068454045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Center for Behavioral and Developmental Growth 122 Gordon Commercial Drive Suite C Lagrange GA 30240-5740 Ph: (706) 845-4045 | Pathways Center for Behavioral and Developmental Growth 101 Commerce Plaza Suite 3 Barnesville GA 30204-1680 Ph: (770) 358-5269 |
| NPI Number | 1124183082 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 02/26/2013 |
| Medicare PECOS PAC ID | 5193712073 |
|---|---|
| Medicare Enrollment ID | O20040430000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124183082 | NPI | - | NPPES |
| 000599332AJ | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Franchon R Scales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295823623 PECOS PAC ID: 5294741369 Enrollment ID: I20060227000472 |
| Provider Name | Maria L Bejacmar-didier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447378971 PECOS PAC ID: 5294831525 Enrollment ID: I20070503000323 |
| Provider Name | Jithender Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114955457 PECOS PAC ID: 4284605593 Enrollment ID: I20101103000997 |
| Provider Name | Roseline a Makinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902108491 PECOS PAC ID: 5193904506 Enrollment ID: I20110131000831 |
| Provider Name | Amber N Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073862751 PECOS PAC ID: 6507018389 Enrollment ID: I20121129000456 |
| Provider Name | Mary Lou Devaul-eshleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104972025 PECOS PAC ID: 9234210964 Enrollment ID: I20130723000088 |
| Provider Name | Allen Lavender |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124339478 PECOS PAC ID: 7810123288 Enrollment ID: I20141202000766 |
| Provider Name | Lauren E Hornsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972932036 PECOS PAC ID: 9739405747 Enrollment ID: I20150311000695 |
| Provider Name | Linda Joy Knight- Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952425183 PECOS PAC ID: 0042386716 Enrollment ID: I20160829000736 |
| Provider Name | Rugiatu Bahr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861958472 PECOS PAC ID: 1951633262 Enrollment ID: I20191105002287 |
| Provider Name | Sabrina Powell-cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417513557 PECOS PAC ID: 9537593645 Enrollment ID: I20191226000889 |
| Provider Name | Sarah Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902225998 PECOS PAC ID: 5193099455 Enrollment ID: I20200624002788 |
| Provider Name | Destina Reid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790311223 PECOS PAC ID: 9739508227 Enrollment ID: I20201002000282 |
| Provider Name | Jennifer N Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417528373 PECOS PAC ID: 1850784489 Enrollment ID: I20220203000906 |
| Provider Name | Grant a Defrancisco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962909242 PECOS PAC ID: 0345599890 Enrollment ID: I20230927000119 |
| Provider Name | Frederick L Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225806490 PECOS PAC ID: 2365882735 Enrollment ID: I20240502000462 |
| Provider Name | Betty K Demine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366084576 PECOS PAC ID: 9133569551 Enrollment ID: I20240502002229 |
| Provider Name | Keisha Mcneill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528639952 PECOS PAC ID: 5991145294 Enrollment ID: I20240503001612 |
| Provider Name | Amy S Braswell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932468782 PECOS PAC ID: 5890137095 Enrollment ID: I20240520001792 |
| Provider Name | Meribeth Pillot |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508121211 PECOS PAC ID: 6103268453 Enrollment ID: I20240531001748 |
| Provider Name | Timothy L Gunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457710816 PECOS PAC ID: 5799127072 Enrollment ID: I20240531002923 |
| Provider Name | Ryan M Kervin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144800731 PECOS PAC ID: 6204236144 Enrollment ID: I20260302003641 |
| Provider Name | Isaac Ofori Amanfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912634593 PECOS PAC ID: 1850873969 Enrollment ID: I20260306000813 |
LC Enterprise Counseling & Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Chaffin St, Barnesville, GA 30204 Phone: 404-693-5396 |
Brenda Koplan,lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Greenwood Street, Suite G, Barnesville, GA 30224 Phone: 404-402-6132 Fax: 770-228-4847 |
Lamar County Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Library Street, Barnesville, GA 30204 Phone: 770-358-5252 Fax: 770-229-3223 |
Ccss Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Forsyth St, Suite 3, Barnesville, GA 30204 Phone: 678-368-9806 |
Mcintosh TR MH MR Sa Csb Adt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Owens Ln, Po Box E, Barnesville, GA 30204 Phone: 770-358-5252 |
Mcintosh Trail Csb Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Owens Ln, Po Box E, Barnesville, GA 30204 Phone: 770-358-5252 |