Provider Demographics
NPI:1003526849
Name:PATHWAY TO PEACE COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:PATHWAY TO PEACE COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:TALCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:940-577-6304
Mailing Address - Street 1:6781 VERANDAH WAY
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-1254
Mailing Address - Country:US
Mailing Address - Phone:940-577-6304
Mailing Address - Fax:
Practice Address - Street 1:600 E JOHN CARPENTER FWY STE 232
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4456
Practice Address - Country:US
Practice Address - Phone:940-577-6304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty