=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720803513
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PATHWAYS BIBLICAL COUNSELING CENTER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2024
-----------------------------------------------------
Last Update Date | 11/18/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 119 HABITAT ST STE A
-----------------------------------------------------
City | AMERICUS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31709-3423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-514-0845
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1622
-----------------------------------------------------
City | AMERICUS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 31709-1622
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 229-514-0845
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. MATTHEW DEAN ALMEIDA
-----------------------------------------------------
Credential | D.MIN, BCCC
-----------------------------------------------------
Telephone | 229-514-0845
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP1600X
-----------------------------------------------------
Taxonomy Name | Pastoral Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------