Pathways Community Mental Health
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Munising, MI
NPI 1508025800 · NPPES record last updated Jan 11, 2018
Key facts
- NPI
- 1508025800
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- PATHWAYS COMMUNITY MENTAL HEALTH
- Practice address
- 601 W Superior St
Munising, MI 49862-1328 - Phone
- (906) 233-1236
- Fax
- (906) 233-1235
- NPI assigned
- Jun 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Laura A Nelson
- Title
- Credentialing Coordinator
- Phone
- (906) 233-1236
Corporate family (same tax ID) 6
Practitioners 1
-
Kyle Kakuk, MSN, APRN, PMHNP-BC
National Provider Directory
- Tax ID family
- Pathways Community Mental Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
601 W Superior St
Munising, MI 49862-1328
Mailing address
200 W Spring St
Marquette, MI 49855-4630
Phone (906) 233-1236
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1724945 | Medicaid | MI | |
| 750910424 | Other | MI | BCBS |
Other providers in Munising, MI
- Mercy Adeola Odueyungbo
- Kurt Richard Olson
- Mark Walter Olson
- Ryan Kurt Olson
- Heather Palmer
- Victor Adam Patronik
- Kerrie Phillipson
- Jan Hazel Prokosch
- Emily Rose Prunick
- Putvin Health Mart of Munising Inc
All providers in Munising, MI · Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.