Provider Demographics
NPI:1760017768
Name:GUIDED PATHWAYS
Entity Type:Organization
Organization Name:GUIDED PATHWAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:806-282-6061
Mailing Address - Street 1:145 N COLLEGE AVE STE O
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-2443
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:145 N COLLEGE AVE STE O
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2443
Practice Address - Country:US
Practice Address - Phone:806-282-6061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health