# PATHWAY MENTAL HEALTH

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

## Provider details

- **NPI number:** 1982378436
- **Authorized official:** CANDACE HACK PMHNP (PRESIDENT)
- **Authorized official phone:** (270) 245-2413

## Contact information

- **Practice address:** 11 MCLEOD LN, MADISONVILLE, KY 42431-3650
- **Practice address phone:** (270) 245-2413
- **Practice address fax:** (877) 302-0536
- **Mailing address:** 11 MCLEOD LN, MADISONVILLE, KY 42431-3650
- **Mailing address phone:** (270) 245-2413
- **Mailing address fax:** (877) 302-0536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2021
- **Last updated:** 08/29/2024