MEDICARE: PATH FINDER COUNSELING CENTER

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1063753259
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATH FINDER COUNSELING CENTER

Provider Business Mailing Address
First Line	:	151 S ROSE ST
Second Line	:	SUITE D
City	:	KALAMAZOO
State	:	MI
Zip	:	49007-4792
Country	:	US
Telephone Number	:	269-382-5448
Fax Number	:	269-382-5449

Provider Business Practice Location Address
First Line	:	4310 LEONARD ST NW
Second Line	:	SUITE 103
City	:	WALKER
State	:	MI
Zip	:	49534-8447
Country	:	US
Telephone Number	:	616-453-6329
Fax Number	:	616-453-1725

Authorized Official
Title or Position	:	PROVIDER
Name	:	PAULETTE A WILLIAMS
Credential	:	MA MSW LMSW
Telephone Number	:	269-382-5448

Provider Enumeration Date	:	03/13/2013
Last Update Date	:	06/20/2018

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