Provider Demographics
NPI:1295007607
Name:PATHFINDERS COUNSELING, LLC
Entity Type:Organization
Organization Name:PATHFINDERS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SING-OTA
Authorized Official - Suffix:
Authorized Official - Credentials:PCC
Authorized Official - Phone:513-791-7284
Mailing Address - Street 1:10979 REED HARTMAN HWY
Mailing Address - Street 2:136B
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2800
Mailing Address - Country:US
Mailing Address - Phone:513-791-7284
Mailing Address - Fax:513-791-9222
Practice Address - Street 1:10979 REED HARTMAN HWY
Practice Address - Street 2:136B
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2800
Practice Address - Country:US
Practice Address - Phone:513-791-7284
Practice Address - Fax:513-791-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0700159101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH01274Medicaid