Provider Demographics
NPI:1225629462
Name:NEW PATHWAYS TO WELLNESS AND RECOVERY COUNSELING CENTER
Entity Type:Organization
Organization Name:NEW PATHWAYS TO WELLNESS AND RECOVERY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-526-6577
Mailing Address - Street 1:740 W BROADWAY STREET
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751
Mailing Address - Country:US
Mailing Address - Phone:970-526-6577
Mailing Address - Fax:
Practice Address - Street 1:740 W BROADWAY STREET
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751
Practice Address - Country:US
Practice Address - Phone:970-526-6577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW PATHWAYS TO WELLNESS AND RECOVERY COUNSELING CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-31
Last Update Date:2021-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty