Organization
PATHWAYS PSYCHOLOGICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANAH WIMBUSH (OFFICE MANAGER)
(763) 525-8590
Entity
Organization
Contact information
Practice address
10700 OLD COUNTY ROAD 15 STE 170, PLYMOUTH, MN 55441-8709
(763) 525-8590
(763) 525-8592
Mailing address
10700 OLD COUNTY ROAD 15 STE 170, PLYMOUTH, MN 55441-8709
(763) 525-8590
(763) 525-8592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108992
UCARE
MN
01
—
35674
HEALTHPARTNERS
MN
05
—
776781100
—
MN
01
—
8H914PA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
08/09/2005
Last updated
12/31/2025
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