Provider Demographics
NPI:1760886204
Name:PATHWAYS BEHAVORIAL SERVICES
Entity Type:Organization
Organization Name:PATHWAYS BEHAVORIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUBSTANCE ABUSE COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALYSHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MERFELD
Authorized Official - Suffix:
Authorized Official - Credentials:BA, CADC
Authorized Official - Phone:319-232-5363
Mailing Address - Street 1:310 E 6TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-4722
Mailing Address - Country:US
Mailing Address - Phone:319-232-5363
Mailing Address - Fax:319-232-5487
Practice Address - Street 1:310 E 6TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-4722
Practice Address - Country:US
Practice Address - Phone:319-232-5363
Practice Address - Fax:319-232-5487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health