MEDICARE: FAMILY PATHWAYS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	403270	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7140634	OTHER	PA	AETNA
4	1675197	OTHER	PA	HIGHMARK KHPW

General Provider Information

NPI Number	:	1629118492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PATHWAYS

Provider Business Mailing Address
First Line	:	100 BRUGH AVE
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-6410
Country	:	US
Telephone Number	:	724-284-9440
Fax Number	:	724-284-9441

Provider Business Practice Location Address
First Line	:	100 BRUGH AVE
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-6410
Country	:	US
Telephone Number	:	724-284-9440
Fax Number	:	724-284-9441

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. ELAN WELTER LEWIS
Credential	:	EDD, LPC, BCETS
Telephone Number	:	724-284-9440

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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Directions to “FAMILY PATHWAYS ” Practice Location

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