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General NPI Number Information
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NPI Number | 1417421769
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO WELLNESS
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Dates
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Enumeration Date | 01/18/2019
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 32518 W PIONEER SCHOOL RD
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City | MERRIMAN
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State | NE
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Zip | 69218-6563
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Country | US
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Telephone | 605-646-3786
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Fax | 605-646-4828
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Provider Business Mailing Address
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Address Line | PO BOX 184
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City | MERRIMAN
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State | NE
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Zip | 69218-0184
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Country | US
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Telephone | 308-207-2300
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Fax | 605-646-4828
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY SKINNER
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Credential |
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Telephone | 308-207-2300
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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