Pathway to Light Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATHWAY TO LIGHT COUNSELING SERVICES, LLC

Practice address

2425 S Linden Rd Ste D138
Flint, MI 48532-5482

Phone

(810) 875-8872

NPI assigned

Feb 13, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tihesa Mack, LMSWNPI 1174932255

Title

Owner

Phone

(810) 644-2128

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tihesa Mack, LMSW,ACSW

  • Social Worker
  • Flint, MI
  • NPI 1174932255
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1720733306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484730314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 S LINDEN RD STE D138",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325482",
            "telephone_number": "810-875-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO LIGHT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "TIHESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-644-2128",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vina R Patel, M.D.
• Virangkumar Harshadbhai Patel, MD
• Yogesh Patel, PHARMACIST
• Pathology Associates Inc PC
• Sriram Pathuri
• Kimberly Patlewicz
• Patricia Campbell
• Doris Evelyn Patrick, LMSW
• Sarah Patrick
• Tanya Patrick

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.