Provider Demographics
NPI:1538674932
Name:PATHWAYS COUNSELING, PLLC
Entity Type:Organization
Organization Name:PATHWAYS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATASSIA
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:WEATHERLY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:870-313-9072
Mailing Address - Street 1:5540 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-1834
Mailing Address - Country:US
Mailing Address - Phone:870-313-9072
Mailing Address - Fax:
Practice Address - Street 1:5540 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72019-1834
Practice Address - Country:US
Practice Address - Phone:870-313-9072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1202024261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health