Provider Demographics
NPI:1164717112
Name:PATHWAYS, INC
Entity Type:Organization
Organization Name:PATHWAYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SAARIO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:208-878-3350
Mailing Address - Street 1:2311 PARK AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:BURLEY
Mailing Address - State:ID
Mailing Address - Zip Code:83318-2170
Mailing Address - Country:US
Mailing Address - Phone:208-878-3350
Mailing Address - Fax:208-878-3351
Practice Address - Street 1:4094 W CHINDEN BLVD
Practice Address - Street 2:#100
Practice Address - City:GARDEN CITY
Practice Address - State:ID
Practice Address - Zip Code:83714-3429
Practice Address - Country:US
Practice Address - Phone:208-287-5350
Practice Address - Fax:208-287-5351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID09251S00000X
261QM0850X, 261QM0855X, 261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health