Pathways Psychological Services, P.A.

LBN: Pathways Psychological Services, P.A.
Pathways Psychological Services, P.A. is an health care organization with primary practice located at 10700 Old County Road 15 Ste 170 , Plymouth MN 55441-8709. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Pathways Psychological Services, P.A. can be contacted via phone (763) 525-8590, or through Wimbush, Savanah E via phone (763) 525-8590.

Contact Information

Primary practice address
10700 Old County Road 15 Ste 170 Plymouth MN 55441-8709
Fax: (763) 525-9592
Website:
Authorized official contact:
Name: Wimbush, Savanah E

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Minnesota

Profile Details

NPI number 1366443723
LBN Legal business name Pathways Psychological Services, P.A.
DBA Doing business as
Authorized official Wimbush, Savanah E
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366443723 NPPES
Minnesota MEDICAID 776781100
Minnesota Other 108992
Minnesota Other 35674
Minnesota Other 8H914PA

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