Healthcare Provider Details

I. General information

NPI: 1619558673
Provider Name (Legal Business Name): PATHWAYS COUNSELING CENTER FL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3261 COMMERCIAL WAY
SPRING HILL FL
34606-2694
US

IV. Provider business mailing address

3261 COMMERCIAL WAY
SPRING HILL FL
34606-2694
US

V. Phone/Fax

Practice location:
  • Phone: 352-686-3188
  • Fax: 352-686-9394
Mailing address:
  • Phone: 352-686-3188
  • Fax: 352-686-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ROBERTO F QUIROZ
Title or Position: OWNER/PRESIDENT
Credential: LMHC
Phone: 352-686-3188