| Pathways Counseling Center Inc. | |
|
16 Pompton Ave Pompton Lakes NJ 07442-1895 | |
| (973) 835-6337 | |
| (973) 616-4688 |
| Full Name | Pathways Counseling Center Inc. |
|---|---|
| Speciality | Counselor |
| Location | 16 Pompton Ave, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Arthur Mcewen (BOARD VICE CHAIRMAN) |
| Authorized Official Contact | 9738356337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Counseling Center Inc. 16 Pompton Ave Pompton Lakes NJ 07442-1895 Ph: (973) 835-6337 | Pathways Counseling Center Inc. 16 Pompton Ave Pompton Lakes NJ 07442-1895 Ph: (973) 835-6337 |
| NPI Number | 1366509739 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 10/07/2009 |
| Medicare PECOS PAC ID | 6507904828 |
|---|---|
| Medicare Enrollment ID | O20091106000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366509739 | NPI | - | NPPES |
| 0063681 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 111140104 (New Jersey) | Primary |
| Provider Name | Patricia O Brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497978886 PECOS PAC ID: 8921146259 Enrollment ID: I20091106000346 |
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