| Pathwork Counseling Pllc | |
|
112 N Broadway St Ste E Moore OK 73160-5138 | |
| (405) 252-0515 | |
| (405) 698-2776 |
| Full Name | Pathwork Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 112 N Broadway St Ste E, Moore, Oklahoma |
| Authorized Official Name and Position | Suzanne Alain Waters (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 2407279677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathwork Counseling Pllc 112 N Broadway St Ste E Moore OK 73160-5138 Ph: (405) 252-0515 | Pathwork Counseling Pllc 112 N Broadway St Ste E Moore OK 73160-5138 Ph: (405) 252-0515 |
| NPI Number | 1063297091 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063297091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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