Organization Name: | PATHWAYS COUNSELING CENTER |
NPI Number: | 1386941409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER ELYSE ZARE (OWNER/THERAPIST) |
Mailing Address: | 104 Renaissance Cir Mauldin |
State: | SC US |
Postal Code: | 296622455 |
Phone Number: | 8645611133 |
Fax Number: | 8642880501 |
NPI Enumeration Date: | 02/25/2011 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5221 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |