Healthcare Provider Details

I. General information

NPI: 1508323759
Provider Name (Legal Business Name): PATHWAYS FAMILY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6785 WALLINGS RD
NORTH ROYALTON OH
44133-3024
US

IV. Provider business mailing address

6785 WALLINGS RD
NORTH ROYALTON OH
44133-3024
US

V. Phone/Fax

Practice location:
  • Phone: 440-457-7474
  • Fax: 440-457-7448
Mailing address:
  • Phone: 440-457-7474
  • Fax: 440-457-7448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANI CASTERLINE
Title or Position: OWNER
Credential: LPCC-S,MFT
Phone: 440-457-7474