| Pathways Forensic & Mental Health Services, Pllc | |
|
602 S. John Redditt Dr Lufkin TX 75904 | |
| (936) 238-3868 | |
| Not Available |
| Full Name | Pathways Forensic & Mental Health Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 602 S. John Redditt Dr, Lufkin, Texas |
| Authorized Official Name and Position | Velma Jean Stanley (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9362383868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Forensic & Mental Health Services, Pllc 602 S. John Redditt Dr Lufkin TX 75904 Ph: (936) 238-3868 | Pathways Forensic & Mental Health Services, Pllc 602 S. John Redditt Dr Lufkin TX 75904 Ph: (936) 238-3868 |
| NPI Number | 1063894087 |
|---|---|
| Provider Enumeration Date | 06/25/2015 |
| Last Update Date | 04/14/2016 |
| Medicare PECOS PAC ID | 1557719960 |
|---|---|
| Medicare Enrollment ID | O20231126000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063894087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18536 (Texas) | Primary |
| Provider Name | Velma J Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558464602 PECOS PAC ID: 4587011572 Enrollment ID: I20231113003169 |
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