Provider Demographics
NPI:1376701862
Name:PATHWAY MINISTRIES
Entity Type:Organization
Organization Name:PATHWAY MINISTRIES
Other - Org Name:COVENANT COUNSELING AND EDUCATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:E.
Authorized Official - Middle Name:LANGSTON
Authorized Official - Last Name:HAYGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:205-879-7500
Mailing Address - Street 1:2204 LAKESHORE DR
Mailing Address - Street 2:SUITE 212
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6729
Mailing Address - Country:US
Mailing Address - Phone:205-879-7500
Mailing Address - Fax:
Practice Address - Street 1:2204 LAKESHORE DR
Practice Address - Street 2:SUITE 212
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6729
Practice Address - Country:US
Practice Address - Phone:205-879-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health