Healthcare Provider Details
I. General information
NPI: 1073156725
Provider Name (Legal Business Name): PATHWAYS TO WELLNESS COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2019
Last Update Date: 09/09/2021
Certification Date: 09/09/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
415 W GOLF RD STE 59C
ARLINGTON HEIGHTS IL
60005-3923
US
IV. Provider business mailing address
1004 W MINER ST
ARLINGTON HEIGHTS IL
60005-1229
US
V. Phone/Fax
- Phone: 847-999-3579
- Fax: 224-404-1089
- Phone: 773-454-8480
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CRYSTAL
LYNN
HRESKA
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCPC, CADC
Phone: 847-999-3579