Provider Demographics
NPI:1629228994
Name:PATHWAY MENTAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:PATHWAY MENTAL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-997-5643
Mailing Address - Street 1:7402 N 56TH ST
Mailing Address - Street 2:SUITE 801
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-7733
Mailing Address - Country:US
Mailing Address - Phone:813-997-5643
Mailing Address - Fax:813-963-2894
Practice Address - Street 1:7402 N 56TH ST
Practice Address - Street 2:SUITE 801
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-7733
Practice Address - Country:US
Practice Address - Phone:813-997-5643
Practice Address - Fax:813-963-2894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health