Provider Demographics
NPI:1770347148
Name:GUIDED PATHWAY COUNSELING
Entity type:Organization
Organization Name:GUIDED PATHWAY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCPC
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-487-1561
Mailing Address - Street 1:1209 W SHERWIN AVE
Mailing Address - Street 2:#301
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-2243
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1209 W SHERWIN AVE
Practice Address - Street 2:#301
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-2243
Practice Address - Country:US
Practice Address - Phone:312-487-1561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty