Provider Demographics
NPI:1730875329
Name:PATHWAYS COUNSELING AND DEVELOPMENT, LLC
Entity type:Organization
Organization Name:PATHWAYS COUNSELING AND DEVELOPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DE JONG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:571-528-7402
Mailing Address - Street 1:15875 BRIDLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-6097
Mailing Address - Country:US
Mailing Address - Phone:571-528-7402
Mailing Address - Fax:
Practice Address - Street 1:6475 WALL ST STE 150
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-8374
Practice Address - Country:US
Practice Address - Phone:719-301-9580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty