Provider Demographics
NPI:1629118492
Name:FAMILY PATHWAYS
Entity Type:Organization
Organization Name:FAMILY PATHWAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELAN
Authorized Official - Middle Name:WELTER
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC, BCETS
Authorized Official - Phone:724-284-9440
Mailing Address - Street 1:100 BRUGH AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-6410
Mailing Address - Country:US
Mailing Address - Phone:724-284-9440
Mailing Address - Fax:724-284-9441
Practice Address - Street 1:100 BRUGH AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-6410
Practice Address - Country:US
Practice Address - Phone:724-284-9440
Practice Address - Fax:724-284-9441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA403270251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008661250003Medicaid
PA497537Medicaid
PA7140634OtherAETNA
PA1675197OtherHIGHMARK KHPW
PA1008661250003Medicaid