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NPI Code Detail

MEDICARE: PATHWAYS MENTAL HEALTH SERVICES

MEDICARE: PATHWAYS MENTAL HEALTH SERVICES
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)LF00002685WA
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/CenterLF00002685WA
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1306004775
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHWAYS MENTAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 436 MCPHEE RD SW
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-5014
Country : US
Telephone Number : 360-799-5782
Fax Number : 360-539-1715
Provider Business Practice Location Address
First Line : 436 MCPHEE RD SW
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-5014
Country : US
Telephone Number : 360-799-5782
Fax Number : 360-539-1715
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DR. ART TOLENTINO
Credential : PHD
Telephone Number : 360-799-5782
Provider Enumeration Date : 06/01/2008
Last Update Date : 03/25/2024

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1497772149 — ARTHUR C TOLENTINO PH.D.
Practice Location Address:
436 MCPHEE RD SW
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98502-5014
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1124112073 — DR. VIVIAN L BLANCO MD
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Directions to “PATHWAYS MENTAL HEALTH SERVICES ” Practice Location

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