Organization
PATHWAYS COUNSELING CENTER II LLC
Active
Other names
Pathways Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN STAHL-SUSSEK (BILLING SPECIALIST)
(262) 754-5921
Entity
Organization
Contact information
Practice address
11121 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4033
(262) 641-9790
(262) 641-9791
Mailing address
11121 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4033
(262) 641-9790
(262) 641-9791
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1730
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
1730
WI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1730
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42227700
—
WI
Enumeration date
07/31/2007
Last updated
03/07/2025
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