| Journey To Pathways, Lcsw, Pllc | |
|
175 Huguenot St Ste 200 New Rochelle NY 10801-7761 | |
| (914) 751-9768 | |
| Not Available |
| Full Name | Journey To Pathways, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 175 Huguenot St Ste 200, New Rochelle, New York |
| Authorized Official Name and Position | Lekeisha Dawkins (CEO) |
| Authorized Official Contact | 9147519768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To Pathways, Lcsw, Pllc 175 Huguenot St Ste 200 New Rochelle NY 10801-7761 Ph: (914) 751-9768 | Journey To Pathways, Lcsw, Pllc 175 Huguenot St Ste 200 New Rochelle NY 10801-7761 Ph: (914) 751-9768 |
| NPI Number | 1861909814 |
|---|---|
| Provider Enumeration Date | 12/29/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 0042641615 |
|---|---|
| Medicare Enrollment ID | O20200514002133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861909814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18218 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 083846 (New York) | Primary |
| Provider Name | Lekeisha Dawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356746374 PECOS PAC ID: 4688005259 Enrollment ID: I20200514002552 |
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