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Organization
PATHWAY PSYCHIATRY & COUNSELING CENTER, LLC
Active
Organization
PATHWAY PSYCHIATRY & COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY L GARRETT (OFFICE MANAGER)
(681) 207-3652
Entity
Organization
Contact information
Practice address
310 GEORGE ST STE 100, BECKLEY, WV 25801-2653
(681) 238-3344
(681) 207-3653
Mailing address
310 GEORGE ST STE 100, BECKLEY, WV 25801-2653
(681) 238-3344
(681) 207-3653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456789
896457123
—
Enumeration date
02/08/2021
Last updated
09/05/2024
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