MEDICARE: PATHWAYS BEHAVIORAL HEALTH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1043967144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAYS BEHAVIORAL HEALTH, INC

Provider Business Mailing Address
First Line	:	440 LOUISIANA ST STE 803
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-1639
Country	:	US
Telephone Number	:	225-636-9827
Fax Number	:	225-351-8794

Provider Business Practice Location Address
First Line	:	440 LOUISIANA ST STE 803
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-1639
Country	:	US
Telephone Number	:	225-636-9827
Fax Number	:	225-351-8794

Authorized Official
Title or Position	:	CO-OWNER/PROGRAM DIRECTOR
Name	:	CHRISTEN LEWIS
Credential	:	MSW, RSW
Telephone Number	:	225-636-9827

Provider Enumeration Date	:	03/08/2022
Last Update Date	:	12/04/2023

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