| Restorative Pathways Counseling, Llc | |
|
58 N 5th St Ste 102 Zanesville OH 43701-3527 | |
| (740) 214-6443 | |
| (888) 626-6496 |
| Full Name | Restorative Pathways Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 58 N 5th St Ste 102, Zanesville, Ohio |
| Authorized Official Name and Position | Miranda Walton (EXECUTIVE DIRECTOR, OWNER) |
| Authorized Official Contact | 7407045067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Pathways Counseling, Llc Po Box 3103 Zanesville OH 43702-3103 Ph: (740) 704-5067 | Restorative Pathways Counseling, Llc 58 N 5th St Ste 102 Zanesville OH 43701-3527 Ph: (740) 214-6443 |
| NPI Number | 1215408000 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Medicare PECOS PAC ID | 5395112874 |
|---|---|
| Medicare Enrollment ID | O20221114001579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215408000 | NPI | - | NPPES |
| 418991 | Medicaid | OH |
| Provider Name | Stephanie L Wahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003300641 PECOS PAC ID: 5395157770 Enrollment ID: I20201208002185 |
| Provider Name | Courtney C Wolford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750854949 PECOS PAC ID: 6204288442 Enrollment ID: I20240123003760 |
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