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NPI Code Detail

MEDICARE: PATHWAYS COUNSELING SERVICE

MEDICARE: PATHWAYS COUNSELING SERVICE
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1669196853
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHWAYS COUNSELING SERVICE
Provider Business Mailing Address
First Line : 5005 SW 12TH ST
Second Line :
City : MARGATE
State : FL
Zip : 33068-4064
Country : US
Telephone Number : 954-907-0175
Fax Number :
Provider Business Practice Location Address
First Line : 5005 SW 12TH ST
Second Line :
City : MARGATE
State : FL
Zip : 33068-4064
Country : US
Telephone Number : 954-907-0175
Fax Number :
Authorized Official
Title or Position : OWNER/PROVIDER
Name : RUTH AUGUSTE
Credential :
Telephone Number : 954-907-0175
Provider Enumeration Date : 09/30/2022
Last Update Date : 09/30/2022

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Directions to “PATHWAYS COUNSELING SERVICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.