Provider Demographics
NPI:1801181128
Name:PATHWAYS FOR CHANGE, LLC
Entity Type:Organization
Organization Name:PATHWAYS FOR CHANGE, LLC
Other - Org Name:JODI MERRILL
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:MERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:610-928-1097
Mailing Address - Street 1:401 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2401
Mailing Address - Country:US
Mailing Address - Phone:610-928-1097
Mailing Address - Fax:610-928-7223
Practice Address - Street 1:401 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2401
Practice Address - Country:US
Practice Address - Phone:610-928-1097
Practice Address - Fax:610-928-7223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF 000640106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty