| The Path Forward Support Services | |
|
3611 W Pioneer Pkwy Ste H Pantego TX 76013-4516 | |
| (682) 232-3499 | |
| Not Available |
| Full Name | The Path Forward Support Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3611 W Pioneer Pkwy Ste H, Pantego, Texas |
| Authorized Official Name and Position | Jennifer Lockwood (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6822323499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Path Forward Support Services 3611 W Pioneer Pkwy Ste H Pantego TX 76013-4516 Ph: (682) 232-3499 | The Path Forward Support Services 3611 W Pioneer Pkwy Ste H Pantego TX 76013-4516 Ph: (682) 232-3499 |
| NPI Number | 1861186488 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861186488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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