Provider Demographics
NPI:1912425711
Name:PATHWAY HUMAN SERVICES
Entity type:Organization
Organization Name:PATHWAY HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:THADDEUS
Authorized Official - Middle Name:UCHENNA
Authorized Official - Last Name:OSUAGWU
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:412-482-4540
Mailing Address - Street 1:217 CONSTITUTION AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-1938
Mailing Address - Country:US
Mailing Address - Phone:1443-221-1201
Mailing Address - Fax:
Practice Address - Street 1:109 WHITAKER ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-2411
Practice Address - Country:US
Practice Address - Phone:141-248-2454
Practice Address - Fax:412-301-1868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2022-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
PASW134428251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1770008203OtherBEHAVIORAL HEALTH AND HUMAN SERVICES