Provider Demographics
NPI:1649634635
Name:PATHFINDER CONSULTANCY AGENCY, LLC
Entity type:Organization
Organization Name:PATHFINDER CONSULTANCY AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:OLUSEYE
Authorized Official - Last Name:GBAROYE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:973-704-7942
Mailing Address - Street 1:1139 E JERSEY ST
Mailing Address - Street 2:SUITE 417
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-2473
Mailing Address - Country:US
Mailing Address - Phone:973-704-7942
Mailing Address - Fax:
Practice Address - Street 1:1139 E JERSEY ST
Practice Address - Street 2:SUITE 417
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2473
Practice Address - Country:US
Practice Address - Phone:973-704-7942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health