| Pathways Counseling And Consultation Pllc | |
|
3600 S Water Tower Pl Mount Vernon IL 62864-6589 | |
| (618) 244-0212 | |
| (618) 244-0535 |
| Full Name | Pathways Counseling And Consultation Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3600 S Water Tower Pl, Mount Vernon, Illinois |
| Authorized Official Name and Position | Maranda Anne Stachyra (OWNER) |
| Authorized Official Contact | 6182313440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Counseling And Consultation Pllc 3600 S Water Tower Pl Mount Vernon IL 62864-6589 Ph: (618) 244-0212 | Pathways Counseling And Consultation Pllc 3600 S Water Tower Pl Mount Vernon IL 62864-6589 Ph: (618) 244-0212 |
| NPI Number | 1275357006 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Medicare PECOS PAC ID | 4284161548 |
|---|---|
| Medicare Enrollment ID | O20241226002915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275357006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Maranda Anne Stachyra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831392570 PECOS PAC ID: 6002055787 Enrollment ID: I20130611000303 |
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