Provider Demographics
NPI:1972992188
Name:PATHWAYS COUNSELING
Entity type:Organization
Organization Name:PATHWAYS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:W
Authorized Official - Last Name:KENT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-502-7984
Mailing Address - Street 1:665 HIGHWAY 51 STE D
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2136
Mailing Address - Country:US
Mailing Address - Phone:601-502-7984
Mailing Address - Fax:
Practice Address - Street 1:665 HIGHWAY 51 STE D
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2136
Practice Address - Country:US
Practice Address - Phone:601-502-7984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1915251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health