Provider Demographics
NPI:1972661700
Name:PATHWAYS COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:PATHWAYS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BLANKENSHIP SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-263-7758
Mailing Address - Street 1:19 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2212
Mailing Address - Country:US
Mailing Address - Phone:717-263-7758
Mailing Address - Fax:717-261-1147
Practice Address - Street 1:19 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2212
Practice Address - Country:US
Practice Address - Phone:717-263-7758
Practice Address - Fax:717-261-1147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50000836OtherCAPITAL BLUE CROSS GPIN