PATHWAYS BEHAVIORAL SERVICES INC NPI 1417079864

NPI Information

NPI: 1417079864
Provider Name: PATHWAYS BEHAVIORAL SERVICES INC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
500 E 4TH ST
ROOM 417
WATERLOO, IA
ZIP 50703
Phone: (319) 232-5363
Get Directions

PATHWAYS BEHAVIORAL SERVICES INC is an addiction (substance use disorder) counselor in Waterloo, IA. PATHWAYS BEHAVIORAL SERVICES INC NPI is 1417079864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 E 4TH ST
ROOM 417
WATERLOO, IA
ZIP 50703-798
Phone: (319) 232-5363
Fax: (319) 232-5487

The provider's authorized official is David Alan Becker .
The authorized official title is Business Manager and has the following contact phone number (319) 235-6571.

The enumeration date for this NPI number is 4/5/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	251S00000X	Community/Behavioral Health				X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0117394	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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