Healthcare Provider Details

I. General information

NPI: 1598687691
Provider Name (Legal Business Name): JOYFUL PATHWAY MENTAL HEALTH COUNSELING SERVICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CROSS KEYS OFFICE PARK SUITE 430
FAIRPORT NY
14450
US

IV. Provider business mailing address

400 CROSS KEYS OFFICE PARK SUITE 430
FAIRPORT NY
14450
US

V. Phone/Fax

Practice location:
  • Phone: 212-234-2213
  • Fax: 646-349-5413
Mailing address:
  • Phone: 212-234-2213
  • Fax: 646-349-5413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN BRENT COWART
Title or Position: CFO
Credential: LMHC
Phone: 212-234-2213