Organization Name: | PATHWAYS FORENSIC & MENTAL HEALTH SERVICES, PLLC |
NPI Number: | 1063894087 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VELMA JEAN STANLEY (CLINICAL DIRECTOR) |
Mailing Address: | 602 S. John Redditt Dr Lufkin |
State: | TX US |
Postal Code: | 75904 |
Phone Number: | 9362383868 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2015 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 18536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |