Provider Demographics
NPI:1811517147
Name:PATHS TO EMPOWERMENT COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:PATHS TO EMPOWERMENT COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-604-8325
Mailing Address - Street 1:9339 MCFARLAND WAY
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-6909
Mailing Address - Country:US
Mailing Address - Phone:251-604-8325
Mailing Address - Fax:
Practice Address - Street 1:7850 COUNTRY DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619-5325
Practice Address - Country:US
Practice Address - Phone:251-604-8325
Practice Address - Fax:251-635-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health