Provider Demographics
NPI:1619558673
Name:PATHWAYS COUNSELING CENTER FL, LLC
Entity Type:Organization
Organization Name:PATHWAYS COUNSELING CENTER FL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:F
Authorized Official - Last Name:QUIROZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:352-686-3188
Mailing Address - Street 1:3261 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-2694
Mailing Address - Country:US
Mailing Address - Phone:352-686-3188
Mailing Address - Fax:352-686-9394
Practice Address - Street 1:3261 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-2694
Practice Address - Country:US
Practice Address - Phone:352-686-3188
Practice Address - Fax:352-686-9394
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATHWAYS COUNSELING CENTER FL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty