Provider Demographics
NPI:1275165854
Name:3D PATHWAYS, LLC
Entity Type:Organization
Organization Name:3D PATHWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLING-DADE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:614-321-4010
Mailing Address - Street 1:57 W WATERLOO ST STE 103
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1180
Mailing Address - Country:US
Mailing Address - Phone:614-321-4010
Mailing Address - Fax:
Practice Address - Street 1:57 W WATERLOO ST STE 103
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1180
Practice Address - Country:US
Practice Address - Phone:614-321-4010
Practice Address - Fax:844-944-0144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH210445Medicaid