| Pathway To Clarity, Llc | |
|
408 N Wayne St Num 143 Angola IN 46703-1552 | |
| (260) 316-0979 | |
| Not Available |
| Full Name | Pathway To Clarity, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 408 N Wayne St, Angola, Indiana |
| Authorized Official Name and Position | Kimberly I Wright (OWNER) |
| Authorized Official Contact | 2603160979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway To Clarity, Llc 408 N Wayne St Num 143 Angola IN 46703-1552 Ph: (260) 316-0979 | Pathway To Clarity, Llc 408 N Wayne St Num 143 Angola IN 46703-1552 Ph: (260) 316-0979 |
| NPI Number | 1427345792 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 07/07/2011 |
| Medicare PECOS PAC ID | 6103090428 |
|---|---|
| Medicare Enrollment ID | O20111123000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427345792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 39001897A (Indiana) | Primary |
| Provider Name | Sherri L Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457437147 PECOS PAC ID: 0648404152 Enrollment ID: I20131015002066 |
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