| Pathway to Light Counseling Services, LLC | |
|
2425 S Linden Rd Ste D138 Flint MI 48532-5482 | |
| (810) 875-8872 | |
| Not Available |
| Full Name | Pathway to Light Counseling Services, LLC |
|---|---|
| Speciality | Social Worker |
| Location | 2425 S Linden Rd Ste D138, Flint, Michigan |
| Authorized Official Name and Position | Tihesa Mack (OWNER) |
| Authorized Official Contact | 8106442128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway to Light Counseling Services, LLC Po Box 314 Swartz Creek MI 48473-0314 | Pathway to Light Counseling Services, LLC 2425 S Linden Rd Ste D138 Flint MI 48532-5482 Ph: (810) 875-8872 |
| NPI Number | 1720733306 |
|---|---|
| Provider Enumeration Date | 02/13/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 2567856172 |
|---|---|
| Medicare Enrollment ID | O20220224002182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720733306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Tihesa Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174932255 PECOS PAC ID: 7012309107 Enrollment ID: I20220124000264 |
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