Provider Demographics
NPI:1811397565
Name:ETENRITYS PATH LLC A COUNSELING AND FAMILY RESOURCE CENTER
Entity type:Organization
Organization Name:ETENRITYS PATH LLC A COUNSELING AND FAMILY RESOURCE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-986-9503
Mailing Address - Street 1:3973 CHIMNEY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-1430
Mailing Address - Country:US
Mailing Address - Phone:404-680-6887
Mailing Address - Fax:
Practice Address - Street 1:100 PEACHTREE ST NE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30909
Practice Address - Country:US
Practice Address - Phone:404-554-0280
Practice Address - Fax:702-910-3231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-31
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty