Provider Demographics
NPI:1922519172
Name:PATHWAYS COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:PATHWAYS COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:GUIDRY
Authorized Official - Last Name:BABIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, BACS
Authorized Official - Phone:225-405-0901
Mailing Address - Street 1:23520 EDEN ST STE C
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-2750
Mailing Address - Country:US
Mailing Address - Phone:225-289-4621
Mailing Address - Fax:225-289-4318
Practice Address - Street 1:23520 EDEN ST STE C
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-2750
Practice Address - Country:US
Practice Address - Phone:225-289-4621
Practice Address - Fax:225-289-4318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health