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General NPI Number Information
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NPI Number | 1033680350
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/14/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 2686 W OXFORD LOOP STE 125
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City | OXFORD
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State | MS
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Zip | 38655-5427
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Country | US
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Telephone | 662-561-5765
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Fax | 855-447-5580
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Provider Business Mailing Address
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Address Line | 105 WESTMINSTER DR
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City | OXFORD
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State | MS
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Zip | 38655-6006
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Country | US
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Telephone | 662-561-5765
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Fax |
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Authorized Official
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Title or Position | CLINICAL MENTAL HEALTH COUNSELOR
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Name | MRS. CAROLYN S. JENKINS
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Credential | M.ED., LPC, NCC, CTT
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Telephone | 662-561-5765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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