Organization · NPI-2
Pathway Counseling Services
Community/Behavioral Health · Hattiesburg, MS
NPI number1821536392
StatusActive
Last updated in NPPESJun 20, 2018
Details
- NPI
- 1821536392
- Entity type
- Organization (NPI-2)
- Legal business name
- Pathway Counseling Services
- Organization subpart
- No
- Enumeration date
- Feb 6, 2017
- Last updated
- Jun 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | T0440 | MS | Yes |
| 251B00000X | Case Management | T0440 | MS |
Practice location
5 Orleans DriveSuite 2
Hattiesburg, MS 39402
Phone 601-818-0167
Mailing address
5 Orleans DriveSuite 2
Hattiesburg, MS 39402
Phone 601-818-0167
Authorized official
Susan K Davidson
Clinical Therapist
6018180167
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