Organization
PATHWAYS WELLNESS GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY H FROST LCSW (PRESIDENT)
(207) 492-0903
Entity
Organization
Contact information
Practice address
1335 ALBAIR RD, CARIBOU, ME 04736-4300
(207) 492-0903
(855) 553-6925
Mailing address
1335 ALBAIR RD, CARIBOU, ME 04736-4300
(207) 492-0903
(855) 553-6925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC5725
STATE LICENSE
ME
Enumeration date
12/01/2021
Last updated
01/31/2025
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