Basic Information
| Provider Information | |||||||||
| NPI: | 1639389729 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FAMILY PATHS, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1727 MARTIN LUTHER KING JR WAY | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946121358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108939230 | ||||||||
| FaxNumber: | 5108932074 | ||||||||
| Practice Location | |||||||||
| Address1: | 1727 MARTIN LUTHER KING JR WAY | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946121358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5108939230 | ||||||||
| FaxNumber: | 5108932074 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2007 | ||||||||
| LastUpdateDate: | 02/14/2022 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | SILVER | ||||||||
| AuthorizedOfficialFirstName: | BARBRA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5108939230 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MFT | ||||||||
| NPICertificationDate: | 02/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.