Provider Demographics
NPI:1801657002
Name:PATHWAYS COUNSELING
Entity type:Organization
Organization Name:PATHWAYS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMICO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:317-313-8994
Mailing Address - Street 1:7331 EAGLE VISTA PL
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46259-7705
Mailing Address - Country:US
Mailing Address - Phone:317-446-2995
Mailing Address - Fax:
Practice Address - Street 1:5401 S EAST ST STE 112B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-2077
Practice Address - Country:US
Practice Address - Phone:317-313-8994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health