# PATHWAYS LIFE COACHING & SUPPORT SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205272796
- **Authorized official:** MRS. SONIA GUERAO LMHC (DIRECTOR)
- **Authorized official phone:** (321) 749-6862

## Contact information

- **Practice address:** 2060 HIGHWAY A1A, SUITE 304, INDIAN HARBOUR BEACH, FL 32937-3596
- **Practice address phone:** (321) 749-6862
- **Practice address fax:** (321) 751-6734
- **Mailing address:** 2060 HIGHWAY A1A, SUITE 304, INDIAN HARBOUR BEACH, FL 32937-3596
- **Mailing address phone:** (321) 749-6862
- **Mailing address fax:** (321) 751-6734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 11161 | FL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 11151 | FL | Yes |

## Other

- **Enumeration date:** 05/11/2013
- **Last updated:** 05/11/2013