Organization Name: | PATHWAY COUNSELING CENTER, LLC |
NPI Number: | 1033350780 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CASSIE LYNN DIRENZO (SOCIAL WORKER) |
Mailing Address: | 16239 Saint Clair Ave Pathway Counseling Center, Llc East Liverpool |
State: | OH US |
Postal Code: | 439209449 |
Phone Number: | 3303832961 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2009 |
NPI Last Update Date: | 03/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | I0700107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |