Provider Demographics
NPI:1821772567
Name:PATH FORWARD COUNSELING LCSW PLLC
Entity Type:Organization
Organization Name:PATH FORWARD COUNSELING LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:585-383-8338
Mailing Address - Street 1:176 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-1044
Mailing Address - Country:US
Mailing Address - Phone:585-383-8338
Mailing Address - Fax:585-296-8085
Practice Address - Street 1:2480 BROWNCROFT BLVD STE 256
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-1435
Practice Address - Country:US
Practice Address - Phone:585-383-8338
Practice Address - Fax:585-296-8085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty