| Pathways Therapy, Pllc | |
|
1700 Padre Blvd Ste B South Padre Island TX 78597-6730 | |
| (956) 592-0446 | |
| Not Available |
| Full Name | Pathways Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1700 Padre Blvd Ste B, South Padre Island, Texas |
| Authorized Official Name and Position | Jennifer Pinkerton (CEO/GENERAL MANAGER) |
| Authorized Official Contact | 9565920446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Therapy, Pllc 102 Wild Olive Laguna Vista TX 78578-2924 Ph: (956) 592-0446 | Pathways Therapy, Pllc 1700 Padre Blvd Ste B South Padre Island TX 78597-6730 Ph: (956) 592-0446 |
| NPI Number | 1225793326 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Medicare PECOS PAC ID | 9032597331 |
|---|---|
| Medicare Enrollment ID | O20220527000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225793326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Pinkerton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407357395 PECOS PAC ID: 1355730276 Enrollment ID: I20211116000749 |
Texas Medical Recovery Group Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 Padre Blvd, South Padre Island, TX 78597 Phone: 956-299-4748 Fax: 210-634-3961 |