Provider Demographics
NPI:1467789586
Name:PATHWAYS COUNSELING CENTER
Entity Type:Organization
Organization Name:PATHWAYS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:READING
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, LPC, LCAS
Authorized Official - Phone:252-338-5334
Mailing Address - Street 1:508 E MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-4458
Mailing Address - Country:US
Mailing Address - Phone:252-338-5334
Mailing Address - Fax:252-338-1779
Practice Address - Street 1:508 E MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4458
Practice Address - Country:US
Practice Address - Phone:252-338-5334
Practice Address - Fax:252-338-1779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC997101YA0400X
NC2710101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1297FOtherBLUE CROSS/BLUE SHIELD
NC61012432Medicaid