Healthcare Provider Details

I. General information

NPI: 1679185839
Provider Name (Legal Business Name): PATHWAYS HUMAN SERVICES OF PENNSYLVANIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 OLD HAYMAKER RD STE 209
MONROEVILLE PA
15146-1684
US

IV. Provider business mailing address

513 PRINCE EDWARD ST
FREDERICKSBURG VA
22401-5742
US

V. Phone/Fax

Practice location:
  • Phone: 724-282-9010
  • Fax: 866-501-2374
Mailing address:
  • Phone: 540-710-6085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOYCE MONTES
Title or Position: GENERAL COUNSEL
Credential: J.D., C.H.C.
Phone: 540-710-6085