PATHWAYS TO A BETTER LIFE LLC NPI 1780081174

NPI Information

NPI: 1780081174
Provider Name: PATHWAYS TO A BETTER LIFE, LLC

Doing Business As: PATHWAYS TO A BETTER LIFE - KIEL CAMPUS 2

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
13111 LAX CHAPEL RD
KIEL, WI
ZIP 53042
Phone: (920) 894-1374
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PATHWAYS TO A BETTER LIFE, LLC is a substance abuse rehabilitation facility in Kiel, WI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PATHWAYS TO A BETTER LIFE, LLC NPI is 1780081174. The provider is registered as an organization entity type.
The provider Is Doing Business As Pathways To A Better Life - Kiel Campus 2.

The provider's business location address is:

13111 LAX CHAPEL RD
KIEL, WI
ZIP 53042-954
Phone: (920) 894-1374
Fax: (920) 894-1373

The provider's authorized official is Susan Beattie .
The authorized official title is Owner / Ceo and has the following contact phone number (920) 286-0189.

The enumeration date for this NPI number is 12/1/2014 and was last updated on 9/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251S00000X	Community/Behavioral Health		No
2	261Q00000X	Clinic/Center		No
3	261QC1500X	Clinic/Center	Community Health	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
5	261QM1300X	Clinic/Center	Multi-Specialty	No
6	324500000X	Substance Abuse Rehabilitation Facility		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1265068415	MEDICAID	WISCONSIN
2	1861022022	MEDICAID	WISCONSIN
3	1053468207	MEDICAID	WISCONSIN
4	1336105501	MEDICAID	WISCONSIN
5	1780262840	MEDICAID	WISCONSIN
6	1659907392	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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