Provider Demographics
NPI:1417209057
Name:PATHWAYS 2 PLLC
Entity Type:Organization
Organization Name:PATHWAYS 2 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVING
Authorized Official - Suffix:
Authorized Official - Credentials:MA-LPC
Authorized Official - Phone:586-558-6868
Mailing Address - Street 1:30101 HOOVER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-6572
Mailing Address - Country:US
Mailing Address - Phone:586-558-6868
Mailing Address - Fax:586-558-6893
Practice Address - Street 1:30101 HOOVER RD STE 100
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-6572
Practice Address - Country:US
Practice Address - Phone:586-558-6868
Practice Address - Fax:586-558-6893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013130101YM0800X
MI2102227101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty