| Pathways Counseling Clinic | |
|
211 Peeksville Rd Locust Grove GA 30248-3138 | |
| (770) 826-9277 | |
| (855) 728-4997 |
| Full Name | Pathways Counseling Clinic |
|---|---|
| Speciality | Counselor - Professional |
| Location | 211 Peeksville Rd, Locust Grove, Georgia |
| Authorized Official Name and Position | Arless Richey Lewis (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7708269277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Counseling Clinic Po Box 1101 Locust Grove GA 30248-1101 Ph: (770) 826-9277 | Pathways Counseling Clinic 211 Peeksville Rd Locust Grove GA 30248-3138 Ph: (770) 826-9277 |
| NPI Number | 1093189664 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 11/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093189664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 005591 (Georgia) | Primary |
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