| Pathways For Change, Inc | |
|
2050 West Blount Street Pensacola FL 32501 | |
| (850) 637-1429 | |
| (850) 637-1056 |
| Full Name | Pathways For Change, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2050 West Blount Street, Pensacola, Florida |
| Authorized Official Name and Position | Constance R Bookman (CEO) |
| Authorized Official Contact | 8503462922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways For Change, Inc Po Box 17852 Pensacola FL 32522 Ph: (850) 637-1429 | Pathways For Change, Inc 2050 West Blount Street Pensacola FL 32501 Ph: (850) 637-1429 |
| NPI Number | 1215271564 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215271564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW5318 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW5318 (* (Not Available)) | Primary |
News Archive
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