Provider Demographics
NPI:1053157065
Name:RECOVERY PATHWAY COUNSELING LLC
Entity type:Organization
Organization Name:RECOVERY PATHWAY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-510-0060
Mailing Address - Street 1:27251 WESLEY CHAPEL BLVD STE 1246
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-4285
Mailing Address - Country:US
Mailing Address - Phone:813-510-0060
Mailing Address - Fax:
Practice Address - Street 1:2044 ASHLEY OAKS CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6414
Practice Address - Country:US
Practice Address - Phone:813-484-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty