Pathways Counseling And Growth Center | |
312 3rd St Elyria OH 44035-5618 | |
(440) 323-5707 | |
(440) 323-3016 |
Full Name | Pathways Counseling And Growth Center |
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Speciality | Community/Behavioral Health |
Location | 312 3rd St, Elyria, Ohio |
Authorized Official Name and Position | Ruthie Lasecki (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4403235707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pathways Counseling And Growth Center 312 3rd St Elyria OH 44035-5618 Ph: (440) 323-5707 | Pathways Counseling And Growth Center 312 3rd St Elyria OH 44035-5618 Ph: (440) 323-5707 |
NPI Number | 1760450837 |
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Provider Enumeration Date | 03/14/2006 |
Last Update Date | 10/26/2022 |
Certification Date | 10/26/2022 |
Medicare PECOS PAC ID | 3870716251 |
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Medicare Enrollment ID | O20161206001235 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760450837 | NPI | - | NPPES |
10635 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Caitlin Vogler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932699097 PECOS PAC ID: 0840533840 Enrollment ID: I20190514003218 |
Provider Name | Doreen George-thomas |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1538584172 PECOS PAC ID: 9133578206 Enrollment ID: I20231214001882 |
Provider Name | Spencer Keech |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1629496005 PECOS PAC ID: 3274976915 Enrollment ID: I20240208004291 |
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