PATHWAYS2 (NPI# 1417209057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417209057 |
| Entity Type | Organization |
| Organization Name | PATHWAYS2 |
| Practice Address |
30500 Van Dyke Ave Suite 209 Warren MI 48093-2195 |
| Practice Telephone | 5865586868 |
| Mailing Telephone | 5865586868 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | MRS. DEBRA LEE LOVING (LIMITED LICENSED COUNSELOR) |
| Authorized Official Telephone | 5865586868 |
| Authorized Official Credential | M.A.,-L.L.P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2102227 | MI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401013130 | MI | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pathways2Bliss, LLC | 15924 Longford Dr, Parker, CO 80134 |
| System for Award Management (SAM) Entities | PATHWAYS2LIFE | 11075 State Bridge Rd, Alpharetta, GA 30022-6673 |
| Street Address |
30500 VAN DYKE AVE SUITE 209 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477726040 | Janet Kay Vincent | Counselor | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2195 | 2008-04-03 |
| 1124651047 | Lisa Levone Jones | Nurse Practitioner | 30500 Van Dyke Ave, Warren, MI 48093-2195 | 2020-02-19 |
| 1285191254 | Ogechi Nita Enyioko | Nurse Practitioner | 30500 Van Dyke Ave, Warren, MI 48093-2195 | 2019-02-26 |
| 1477059087 | Doctors Home Line Pllc | Internal Medicine | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 | 2018-04-03 |
| 1326455320 | Gary Adkisson Jr. | Counselor | 30500 Van Dyke Ave, Suite 209, Warren, MI 48093-2195 | 2014-07-22 |
| 1669886495 | Lori Vance | Counselor | 30500 Van Dyke Ave, Warren, MI 48093-2195 | 2014-06-19 |
| 1649692096 | Heather Ann Finn | Counselor | 30500 Van Dyke Ave, Ste 209, Warren, MI 48093-2195 | 2014-01-19 |
| 1679901383 | Barbara Biggs | Counselor | 30500 Van Dyke Ave, Suite 209, Warren, MI 48093-2195 | 2013-10-16 |
| 1255770004 | Tressa Henson | Counselor | 30500 Van Dyke Ave, Warren, MI 48093-2195 | 2013-06-14 |
| 1417395468 | Marion Crawford Benoit | Counselor | 30500 Van Dyke Ave, Ste 209, Warren, MI 48093-2195 | 2013-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1720638141 | Jody Cohen | Counselor | 212 Melius Rd, Warren, CT 06754-1505 | 2019-09-17 |
| 1821554304 | Tamara Dallaire | Counselor | 23 Denver Ave, Warren, RI 02885-1839 | 2019-02-20 |
| 1871082115 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-05-02 |
| 1689172827 | Megan Elizabeth Cook | Counselor | 5 Mountain Blvd Ste 4, Warren, NJ 07059-2625 | 2018-01-23 |
| 1518405190 | Tadarrio Lowery | Counselor | 414 Trumbull Ave Se, Warren, OH 44483-6339 | 2017-02-03 |
| 1396110904 | R'taveous Merritt | Counselor | 27567 Parkview Blvd, Warren, MI 48092-2975 | 2015-12-08 |
| 1144602897 | Alana Maria Nicolazzo | Counselor | 29203 Roan Dr, Warren, MI 48093-3566 | 2015-06-18 |
| 1346526753 | Weston Martin | Counselor | 648 Main St, Warren, RI 02885-4387 | 2011-10-30 |
| 1295962355 | Kimberly Beck | Counselor | 2000 East Market Street, Warren, OH 44483 | 2009-06-16 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on PATHWAYS2.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.