Provider Demographics
NPI:1053969071
Name:PATHFINDER COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:PATHFINDER COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHASE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:817-542-2111
Mailing Address - Street 1:624 RIVER ROCK DR
Mailing Address - Street 2:
Mailing Address - City:AZLE
Mailing Address - State:TX
Mailing Address - Zip Code:76020-1156
Mailing Address - Country:US
Mailing Address - Phone:817-542-2111
Mailing Address - Fax:
Practice Address - Street 1:9396 CONFEDERATE PARK RD
Practice Address - Street 2:
Practice Address - City:LAKESIDE
Practice Address - State:TX
Practice Address - Zip Code:76135-4916
Practice Address - Country:US
Practice Address - Phone:817-542-2111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)