Organization Name: | A PATHWAY TO HEALING COUNSELING SERVICES LLC |
NPI Number: | 1598130387 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERNADETTE MARIE GAUMER (OWNER) |
Mailing Address: | 723 1st St Palmerton |
State: | PA US |
Postal Code: | 180711504 |
Phone Number: | 4846155988 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2015 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | CWO18417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |