Provider Demographics
NPI:1851666796
Name:PATHWAYS CENTER FOR MENTAL HEALTH, INC.
Entity Type:Organization
Organization Name:PATHWAYS CENTER FOR MENTAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:IRIZARRY-LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-534-5773
Mailing Address - Street 1:5840 CORPORATE WAY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2048
Mailing Address - Country:US
Mailing Address - Phone:954-534-5773
Mailing Address - Fax:
Practice Address - Street 1:5840 CORPORATE WAY
Practice Address - Street 2:SUITE 107
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2048
Practice Address - Country:US
Practice Address - Phone:954-534-5773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-10
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty