Provider Demographics
NPI:1578703385
Name:PATHWAY TO HOPE COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:PATHWAY TO HOPE COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW/CAADC
Authorized Official - Phone:229-249-7730
Mailing Address - Street 1:PO BOX 3561
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31604-3561
Mailing Address - Country:US
Mailing Address - Phone:229-249-7730
Mailing Address - Fax:866-484-8285
Practice Address - Street 1:1341 W HILL AVE
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-5235
Practice Address - Country:US
Practice Address - Phone:229-249-7730
Practice Address - Fax:866-484-8285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health