Organization
COLLABORATIVE PATHWAYS WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA IDA ANTHONY LCSW (CEO)
(347) 833-0287
Entity
Organization
Contact information
Practice address
7901 4TH ST N # 29161, ST PETERSBURG, FL 33702-4305
(727) 428-8288
(727) 295-1938
Mailing address
12773 MANGROVE FOREST DR, RIVERVIEW, FL 33579-2455
(727) 428-8288
(727) 295-1938
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
04/23/2026
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