Provider Demographics
NPI:1083278758
Name:PATHWAYS COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:PATHWAYS COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:HAGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LCADC
Authorized Official - Phone:270-826-5216
Mailing Address - Street 1:915 MAIN ST STE 606
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1848
Mailing Address - Country:US
Mailing Address - Phone:812-853-9110
Mailing Address - Fax:812-759-9869
Practice Address - Street 1:401 HOFFMAN DR STE L
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-3390
Practice Address - Country:US
Practice Address - Phone:270-826-5216
Practice Address - Fax:270-826-2034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-27
Last Update Date:2019-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty