Provider Demographics
NPI:1720343247
Name:NEW PATHWAYS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:NEW PATHWAYS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WERRIES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:989-633-9600
Mailing Address - Street 1:2801 ASHMAN ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-4408
Mailing Address - Country:US
Mailing Address - Phone:989-633-9600
Mailing Address - Fax:
Practice Address - Street 1:2801 ASHMAN ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4408
Practice Address - Country:US
Practice Address - Phone:989-633-9600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty