Provider Demographics
NPI:1942444534
Name:PATHWAYS COUNSELING, LLC
Entity Type:Organization
Organization Name:PATHWAYS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRIMARY THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:STUM
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:435-986-1777
Mailing Address - Street 1:321 N MALL DR
Mailing Address - Street 2:SUITE I-102
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7302
Mailing Address - Country:US
Mailing Address - Phone:435-986-1777
Mailing Address - Fax:
Practice Address - Street 1:321 N MALL DR
Practice Address - Street 2:SUITE I-102
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7302
Practice Address - Country:US
Practice Address - Phone:435-986-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty