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PRIDE PATHWAYS PROGRAM
NPI 1023870094
Community/Behavioral Health in Los Angeles, CA

Active since January 25, 2024
770 S GRAND AVE APT 2062, LOS ANGELES, CA 90017(310) 602-7586 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pride Pathways Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIDE PATHWAYS PROGRAM (NPI 1023870094) is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since January 2024. The organization lists Brenton Lipscomb, Chair Person, as its authorized official.

NPPES Registry Identity

NPI1023870094
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRIDE PATHWAYS PROGRAM
Location Address770 S GRAND AVE APT 2062Los Angeles, CA 90017-3931
Mailing Address3705 W Pico Blvd # 967Los Angeles, CA 90019-3451 · (323) 200-9602
Phone(310) 602-7586
Organization SubpartNo
Authorized OfficialBrenton LipscombChair Person · (256) 345-9006
Enumeration DateJanuary 25, 2024
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1023870094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
770 S GRAND AVE APT 2062, Los Angeles, CA 90017
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions

What is PRIDE PATHWAYS PROGRAM's NPI number?

The NPI number assigned to this healthcare provider is 1023870094, enumerated as an "organization" on January 25, 2024.

Where is the provider located?

The provider is located at 770 S GRAND AVE APT 2062 LOS ANGELES, CA 90017 and the phone number is (310) 602-7586.

What is the provider's specialty?

Community/Behavioral Health with taxonomy code 251S00000X.