Provider Demographics
NPI:1689638678
Name:PATHWAYS COUNSELING & PSYCHOLOGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:PATHWAYS COUNSELING & PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:PATHWAYS COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHOLOGIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-633-1206
Mailing Address - Street 1:85 COMMUNITY RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-2356
Mailing Address - Country:US
Mailing Address - Phone:330-633-1206
Mailing Address - Fax:330-633-1364
Practice Address - Street 1:85 COMMUNITY RD
Practice Address - Street 2:SUITE F
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2356
Practice Address - Country:US
Practice Address - Phone:330-633-1206
Practice Address - Fax:330-633-1364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========-00OtherWORKER'S COMP.
OHPA9339321Medicare ID - Type UnspecifiedGROUP