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Organization

PATHWAYS COMMUNITY MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA SHEPARD (BILLING CLERK)
(906) 233-1236
Entity
Organization

Contact information

Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 233-1236
(906) 233-1235
Mailing address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 233-1236
(906) 233-1235

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
1041C0700X
Clinical Social Worker
Primary
106S00000X
Behavior Technician
133V00000X
Registered Dietitian
2084P0800X
Psychiatry Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
11/19/2025
Last updated
04/28/2026
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