Provider Demographics
NPI:1174254080
Name:PATHOS COUNSELING, PLLC
Entity Type:Organization
Organization Name:PATHOS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:T
Authorized Official - Last Name:SLOMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:571-206-8102
Mailing Address - Street 1:10408 NAVARONE PL
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-7995
Mailing Address - Country:US
Mailing Address - Phone:703-651-6362
Mailing Address - Fax:
Practice Address - Street 1:10408 NAVARONE PL
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-7995
Practice Address - Country:US
Practice Address - Phone:703-651-6362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health