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Monday 7am - 5pm Tuesday 7am - 5pm Wednesday 7am - 5pm Thursday 7am - 5pm Friday 7am - 12pm

Pathways Behavioral Services

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Waterloo, IA
Pathways Behavioral Services

Pathways provides compassionate behavioral health treatment, prevention services and more to support

Pathways Behavioral Services is a nonprofit corporation licensed by the Iowa Department of Public Health and accredited by the Department of Human Services. Pathways supports individuals, families and communities in the fight against mental and behavioral illness and addiction. Our compassionate care delivers innovative programs and services in a safe and unique environment, allowing clients more options and support for improving the quality of their lives. Pathways offers substance abuse and mental health prevention and treatment services to people in six northeast Iowa counties: Black Hawk, Bremer, Buchanan, Butler, Chickasaw and Grundy. Pathways Behavioral Services provides the following services:
- Prevention Services
- Substance Abuse Treatment Services
- OWI Services
- SAP Evaluation Services
- Gambling Treatment, Prevention and Recovery Support Services
- Mental Health Services

For more information, please visit http://www.pathwaysb.org/. We provide high quality, research-based and outcome-driven programs. Treatment programs are customized to work with a wide range of clients and their family members. Our certified staff members handle referrals from the Department of Juvenile Court Services, schools, employers, Department of Human Services and other agencies. Pathways offers community-based services and primary prevention to equip individuals with strategies and recovery tools to prevent problems with alcohol, tobacco and other drugs. We view secondary prevention as a tool for early identification of high-risk behaviors, so Pathways provides a mixture of primary and secondary prevention services.

01/27/2026

Thanks to Zachary, Community Prevention Educator, with Pathways for teaching our health students 6 lessons on ni****ne and va**ng. Today was the first of the lessons. We are lucky to have this timely resource!

01/26/2026

In the case of an accidental opioid overdose, Naloxone could reverse the effects until help arrives.

Naloxone, often referred to by its brand name Narcan, can reverse an overdose and SAVE A LIFE. Pathways amongst other organizations in Iowa are secondary distributors of Naloxone. Visit https://hhs.iowa.gov/naloxone-distribution-sites to find information on how to access and use FREE Naloxone in Iowa!

For more information, interested in a group training, or need help accessing Naloxone for your agency, contact Pathways Prevention Supervisor, Teresa King at Teresa.King@pathwaysb.org

01/23/2026

01/22/2026

✨ New staff spotlight! ✨

We are pleased to welcome Krista Begalske, Psychiatric Mental Health Nurse Practitioner, to Pathways. Krista will be seeing patients in Fredericksburg on Tuesdays and Wednesdays, offering virtual appointments on Thursdays, and providing care in Waverly on Fridays.

Krista has been a Family Nurse Practitioner since 2016 and returned to school to obtain a psychiatric nurse practitioner degree after recognizing the growing need for mental health services in our rural communities.

In the psychiatric nurse practitioner role, Krista provides medication management and works alongside our therapist to deliver comprehensive mental health care. Patients of all ages are welcome. Krista is able to treat a wide range of mental health concerns. She has special interests including anxiety, depression, ADHD, PTSD, and bipolar disorder.

We are excited to expand our mental health services and look forward to supporting our community’s mental well-being!

For more information about our services call our Fredericksburg office at 563-201-0303 or our Waverly office at 319-352-2064

📸 pc: Martin Photography

01/08/2026

Check out the Wellness Recovery Center schedule for the month of January! 🤗❄️

For any questions please call our Waverly office at 319-352-2064 or email Jennifer Riley at Jennifer.Riley@pathwaysb.org

01/05/2026

Fake pills can cause real harm!

Fake pills laced with deadly levels of fentanyl are flooding our streets. Only buy prescriptions from a licensed pharmacy. Keep you and your family safe.

12/31/2025

As the year comes to a close, we want to say thank you to our incredible community for the continued support + generosity. If you’re considering an end-of-year donation, every gift helps us to continue this important work and make an even greater impact in the year ahead!❤️

To donate click here: https://www.paypal.com/donate?hosted_button_id=G265SU7UL9G5Q

Address

3362 University Avenue
Waterloo, IA
50701

Opening Hours

Monday	7am - 5pm
Tuesday	7am - 5pm
Wednesday	7am - 5pm
Thursday	7am - 5pm
Friday	7am - 12pm

Telephone

+13192356571

Website

http://www.pathwaysb.org/

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Our Story

Pathways Behavioral Services is a nonprofit corporation licensed by the Iowa Department of Public Health and accredited by the Department of Human Services. Pathways supports individuals, families and communities in the fight against mental and behavioral illness and addiction. Our compassionate care delivers innovative programs and services in a safe and unique environment, allowing clients more options and support for improving the quality of their lives. This institution is an equal opportunity provider- https://www.fns.usda.gov/usda-nondiscrimination-statement Pathways offers substance abuse and mental health prevention and treatment services to people in six northeast Iowa counties: Black Hawk, Bremer, Buchanan, Butler, Chickasaw and Grundy. Pathways Behavioral Services provides the following services: - Prevention Services - Substance Abuse Treatment Services - OWI Services - SAP Evaluation Services - Gambling Treatment, Prevention and Recovery Support Services - Mental Health Services For more information, please visit http://www.pathwaysb.org/. We provide high quality, research-based and outcome-driven programs. Treatment programs are customized to work with a wide range of clients and their family members. Our certified staff members handle referrals from the Department of Juvenile Court Services, schools, employers, Department of Human Services and other agencies. Pathways offers community-based services and primary prevention to equip individuals with strategies and recovery tools to prevent problems with alcohol, to***co and other drugs. We view secondary prevention as a tool for early identification of high-risk behaviors, so Pathways provides a mixture of primary and secondary prevention services.