Provider Demographics
NPI:1841684230
Name:PATHWAYS OF WASHINGTON, LLC
Entity type:Organization
Organization Name:PATHWAYS OF WASHINGTON, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:STATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANIGUCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-209-8993
Mailing Address - Street 1:1050 N ARGONNE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-6011
Mailing Address - Country:US
Mailing Address - Phone:509-209-8990
Mailing Address - Fax:509-919-4877
Practice Address - Street 1:1050 N ARGONNE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-6011
Practice Address - Country:US
Practice Address - Phone:509-209-8990
Practice Address - Fax:509-919-4877
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLARVIDA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-24
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5299251S00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health