Provider Demographics
NPI:1316078959
Name:PATHWAYS COUNSELING SERVICES
Entity type:Organization
Organization Name:PATHWAYS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IRL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:815-625-5583
Mailing Address - Street 1:PO BOX 792
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-0792
Mailing Address - Country:US
Mailing Address - Phone:815-625-5583
Mailing Address - Fax:630-845-8463
Practice Address - Street 1:208 E 4TH ST
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-3654
Practice Address - Country:US
Practice Address - Phone:815-625-5583
Practice Address - Fax:630-845-8463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health