Provider Demographics
NPI:1700381324
Name:PATHWAYS TO PEACE, INC.
Entity Type:Organization
Organization Name:PATHWAYS TO PEACE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEMEC
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:407-867-1368
Mailing Address - Street 1:314 LA CREEK CT
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-4523
Mailing Address - Country:US
Mailing Address - Phone:443-618-5899
Mailing Address - Fax:
Practice Address - Street 1:200 WAYMONT CT STE 126
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3413
Practice Address - Country:US
Practice Address - Phone:443-618-5899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW11250251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health