Provider Demographics
NPI:1386913671
Name:PATHWAYS COUNSELING, LLC
Entity type:Organization
Organization Name:PATHWAYS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BORITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:203-917-8585
Mailing Address - Street 1:401A HERITAGE VLG
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-5708
Mailing Address - Country:US
Mailing Address - Phone:203-917-8585
Mailing Address - Fax:203-826-2211
Practice Address - Street 1:25 CHURCH HILL RD STE 201B
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1646
Practice Address - Country:US
Practice Address - Phone:203-917-8585
Practice Address - Fax:203-826-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001240106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty