Provider Demographics
NPI:1871783092
Name:PATHWAYS COUNSELING CENTER
Entity type:Organization
Organization Name:PATHWAYS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:WALTY
Authorized Official - Suffix:I
Authorized Official - Credentials:MASTERS
Authorized Official - Phone:201-819-5866
Mailing Address - Street 1:450 ISLAND ROAD APT. 46
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446
Mailing Address - Country:US
Mailing Address - Phone:201-819-5866
Mailing Address - Fax:
Practice Address - Street 1:450 ISLAND RD APT 46
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1113
Practice Address - Country:US
Practice Address - Phone:201-819-5866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)