MEDICARE: PATHWAYS CENTER FOR MENTAL HEALTH, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	103TC1900X	Counseling Psychologist
3	1041C0700X	Clinical Social Worker
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1851666796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAYS CENTER FOR MENTAL HEALTH, INC.

Provider Business Mailing Address
First Line	:	5840 CORPORATE WAY
Second Line	:	SUITE 107
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2048
Country	:	US
Telephone Number	:	954-534-5773
Fax Number	:

Provider Business Practice Location Address
First Line	:	5840 CORPORATE WAY
Second Line	:	SUITE 107
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2048
Country	:	US
Telephone Number	:	954-534-5773
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BARBARA IRIZARRY-LUKE
Credential	:	RN
Telephone Number	:	954-534-5773

Provider Enumeration Date	:	03/10/2012
Last Update Date	:	03/10/2012

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