Provider Demographics
NPI:1083036644
Name:PATHWAYS NATURALLY, INC.
Entity Type:Organization
Organization Name:PATHWAYS NATURALLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEARBORN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, LMHC
Authorized Official - Phone:425-688-8877
Mailing Address - Street 1:PO BOX 32116
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98228-4116
Mailing Address - Country:US
Mailing Address - Phone:428-941-4744
Mailing Address - Fax:855-590-1216
Practice Address - Street 1:1313 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5708
Practice Address - Country:US
Practice Address - Phone:425-941-4744
Practice Address - Fax:855-590-1216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003328261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8894047OtherMEDICARE, PTAN