Provider Demographics
NPI:1326856659
Name:PATHWAYS TO GROWTH COUNSELING
Entity type:Organization
Organization Name:PATHWAYS TO GROWTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-239-6920
Mailing Address - Street 1:PO BOX 134
Mailing Address - Street 2:
Mailing Address - City:ARMUCHEE
Mailing Address - State:GA
Mailing Address - Zip Code:30105-0134
Mailing Address - Country:US
Mailing Address - Phone:770-239-6920
Mailing Address - Fax:
Practice Address - Street 1:541 SAND SPRINGS RD NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-9583
Practice Address - Country:US
Practice Address - Phone:770-239-6920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty