| Pathway Aba Llc | |
|
1602 W Pinhook Rd Ste 303 Lafayette LA 70508-3735 | |
| (337) 534-4214 | |
| (337) 484-1405 |
| Full Name | Pathway Aba Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1602 W Pinhook Rd Ste 303, Lafayette, Louisiana |
| Authorized Official Name and Position | Darren Strother (OWNER) |
| Authorized Official Contact | 3375344214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Aba Llc 1602 W Pinhook Rd Ste 303 Lafayette LA 70508-3735 Ph: (337) 534-4214 | Pathway Aba Llc 1602 W Pinhook Rd Ste 303 Lafayette LA 70508-3735 Ph: (337) 534-4214 |
| NPI Number | 1003490608 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003490608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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