Provider Demographics
NPI:1851535397
Name:ALABAMA BAPTIST CHILDREN'S HOMES & FAMILY MINISTRIES
Entity Type:Organization
Organization Name:ALABAMA BAPTIST CHILDREN'S HOMES & FAMILY MINISTRIES
Other - Org Name:PATHWAYS PROFESSIONAL COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:334-677-7856
Mailing Address - Street 1:1302 ROSS CLARK CIR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-4117
Mailing Address - Country:US
Mailing Address - Phone:334-677-7856
Mailing Address - Fax:334-678-2642
Practice Address - Street 1:1302 ROSS CLARK CIR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-4117
Practice Address - Country:US
Practice Address - Phone:334-677-7856
Practice Address - Fax:334-678-2642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1607101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty