Provider Demographics
NPI:1326762006
Name:NEW PATHWAYS COUNSELING SERVICES
Entity Type:Organization
Organization Name:NEW PATHWAYS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:S
Authorized Official - Last Name:TANGEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-528-0697
Mailing Address - Street 1:602 W BEAUTIFUL LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-8049
Mailing Address - Country:US
Mailing Address - Phone:480-528-0697
Mailing Address - Fax:
Practice Address - Street 1:11022 S 51ST ST STE 103
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-1789
Practice Address - Country:US
Practice Address - Phone:480-528-0697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-27
Last Update Date:2022-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty