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General NPI Number Information
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NPI Number | 1184089658
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 802 S FRANKLIN ST
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City | WHITEVILLE
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State | NC
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Zip | 28472-4708
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Country | US
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Telephone | 910-988-5431
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Fax |
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Provider Business Mailing Address
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Address Line | 802 S FRANKLIN ST
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City | WHITEVILLE
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State | NC
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Zip | 28472-4708
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Country | US
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Telephone | 910-840-1746
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Fax | 866-433-8126
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | KATHLEEN NANCY KELLY
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Credential | MSW
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Telephone | 910-840-1746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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