| Pathways-va, Inc. | |
|
1200 W Washington St Petersburg VA 23803-3923 | |
| (804) 862-1104 | |
| (804) 862-1015 |
| Full Name | Pathways-va, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1200 W Washington St, Petersburg, Virginia |
| Authorized Official Name and Position | Dwala Ferrell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8048621104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways-va, Inc. 1200 W Washington St Petersburg VA 23803-3923 Ph: (804) 862-1104 | Pathways-va, Inc. 1200 W Washington St Petersburg VA 23803-3923 Ph: (804) 862-1104 |
| NPI Number | 1467770859 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467770859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC301671 (District Of Columbia) | Primary |
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