Organization
PATHWAY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN K DAVIDSON LMFT, ACT (CLINICAL THERAPIST)
(601) 818-0167
Entity
Organization
Contact information
Practice address
5 ORLEANS DRIVE, SUITE 2, HATTIESBURG, MS 39402
(601) 818-0167
Mailing address
5 ORLEANS DRIVE, SUITE 2, HATTIESBURG, MS 39402
(601) 818-0167
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
T0440
MS
251S00000X
Community/Behavioral Health Agency
Primary
T0440
MS
Other
Enumeration date
02/06/2017
Last updated
06/20/2018
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