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Organization
PATHWAYS LLC
Active
Organization
PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENTE HESS JOHNSON LCSW (SOLE MEMBER)
(601) 600-2429
Entity
Organization
Contact information
Practice address
1301B HARRISON AVE, MCCOMB, MS 39648-2829
(601) 600-2429
(601) 600-2428
Mailing address
2184 OLD LIBERTY RD, MCCOMB, MS 39648-9123
(601) 600-2429
(601) 600-2429
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
C4173
MS
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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