Provider Demographics
NPI:1063894087
Name:PATHWAYS FORENSIC & MENTAL HEALTH SERVICES, PLLC
Entity type:Organization
Organization Name:PATHWAYS FORENSIC & MENTAL HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:936-238-3868
Mailing Address - Street 1:103 WILDLIFE LN
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-1615
Mailing Address - Country:US
Mailing Address - Phone:936-238-3868
Mailing Address - Fax:
Practice Address - Street 1:103 WILDLIFE LN
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-1615
Practice Address - Country:US
Practice Address - Phone:936-238-3868
Practice Address - Fax:936-238-3867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-25
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18536101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty