Provider Demographics
NPI:1609492628
Name:PATHWAYS TO YOU MENTAL HEALTH COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:PATHWAYS TO YOU MENTAL HEALTH COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:NANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-760-8159
Mailing Address - Street 1:509 5TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-2219
Mailing Address - Country:US
Mailing Address - Phone:218-760-8159
Mailing Address - Fax:
Practice Address - Street 1:509 5TH AVE NW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-2219
Practice Address - Country:US
Practice Address - Phone:218-760-8159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health