| Safe Pathways Counseling Inc | |
|
1172 Twin Stacks Dr Dallas PA 18612-8505 | |
| (570) 674-1505 | |
| (570) 674-8679 |
| Full Name | Safe Pathways Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 1172 Twin Stacks Dr, Dallas, Pennsylvania |
| Authorized Official Name and Position | Marie C Gray (CEO) |
| Authorized Official Contact | 5706741505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Pathways Counseling Inc Po Box 427 Dallas PA 18612-0427 Ph: (570) 674-1505 | Safe Pathways Counseling Inc 1172 Twin Stacks Dr Dallas PA 18612-8505 Ph: (570) 674-1505 |
| NPI Number | 1548048903 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 4981041134 |
|---|---|
| Medicare Enrollment ID | O20240322002746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548048903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Denise Mengak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639132467 PECOS PAC ID: 2062672413 Enrollment ID: I20120322000415 |
| Provider Name | Marie Gray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265679997 PECOS PAC ID: 9335561299 Enrollment ID: I20240322002869 |
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