Provider Demographics
NPI:1366694994
Name:PATHWAYS COUNSELING AND EDUCATIONAL SERVICES
Entity Type:Organization
Organization Name:PATHWAYS COUNSELING AND EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:585-292-6070
Mailing Address - Street 1:100 WHITE SPRUCE BLVD
Mailing Address - Street 2:SUITE L202
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1507
Mailing Address - Country:US
Mailing Address - Phone:585-292-6070
Mailing Address - Fax:585-292-6012
Practice Address - Street 1:100 WHITE SPRUCE BLVD
Practice Address - Street 2:SUITE L202
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-1507
Practice Address - Country:US
Practice Address - Phone:585-292-6070
Practice Address - Fax:585-292-6012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000651-1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health