Organization
PATHWAY COUNSELING MINISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES AFTON WISE MA-LMHC, CLINICAL SU (DIRECTOR)
(407) 366-5656
Entity
Organization
Contact information
Practice address
1054 GOULD PL, OVIEDO, FL 32765-5903
(407) 366-5656
(407) 386-6658
Mailing address
1054 GOULD PL, OVIEDO, FL 32765-5903
(407) 366-5656
(407) 386-6658
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH3981
FL
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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