| Pathways Counseling And Growth Center | |
|
312 3rd St Elyria OH 44035-5618 | |
| (440) 323-5707 | |
| (440) 323-3016 |
| Full Name | Pathways Counseling And Growth Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 312 3rd St, Elyria, Ohio |
| Authorized Official Name and Position | Ruthie Lasecki (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4403235707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Counseling And Growth Center 312 3rd St Elyria OH 44035-5618 Ph: (440) 323-5707 | Pathways Counseling And Growth Center 312 3rd St Elyria OH 44035-5618 Ph: (440) 323-5707 |
| NPI Number | 1760450837 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Medicare PECOS PAC ID | 3870716251 |
|---|---|
| Medicare Enrollment ID | O20161206001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760450837 | NPI | - | NPPES |
| 10635 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Caitlin Vogler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932699097 PECOS PAC ID: 0840533840 Enrollment ID: I20190514003218 |
| Provider Name | Doreen George-thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538584172 PECOS PAC ID: 9133578206 Enrollment ID: I20231214001882 |
| Provider Name | Spencer Keech |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629496005 PECOS PAC ID: 3274976915 Enrollment ID: I20240208004291 |
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