1467258723 NPI number — JE PATHWAY

Table of content: MS. LAUREN ANN LASANTE LMHC, LADC (NPI 1497085401)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467258723 NPI number — JE PATHWAY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JE PATHWAY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467258723
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
508 AUTUMN RIDGE CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PICKERINGTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43147-7837
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-749-4764
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 BREVARD CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PICKERINGTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43147-7875
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-749-4764
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/19/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WOODS
Authorized Official First Name:
JUAN
Authorized Official Middle Name:
NATHANIEL
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
614-749-4764

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)