MEDICARE: PATHWAYS TO PEACE COUNSELING

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1962102335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAYS TO PEACE COUNSELING

Provider Business Mailing Address
First Line	:	137 PEBBLE RD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1262
Country	:	US
Telephone Number	:	908-520-5088
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 PEBBLE RD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1262
Country	:	US
Telephone Number	:	732-674-1241
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. DANA MARIE MEADOWS
Credential	:	LCSW
Telephone Number	:	908-520-5088

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/14/2023

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