Pathways Pastoral Counseling began its ministry in 2004 out of a corporate vision of helping and providing a clinically competent and theologically informed resource to aid those struggling individually, in relationships, families, workplace stressors, and those experiencing chronic illness. Originally created by and under the leadership of the Rev. Dr. Trey Kuhne and members of Westminster Presbyterian Church (ECO) in Spartanburg, SC, the mission of Pathways Pastoral Counseling is to promote, equip, and restore healthy relationships in individuals, couples, and families. This mission is expressed as a non-profit fee-for-service pastoral marriage and family therapy ministry of helping persons with those particular challenges and difficulties that life can present.

In 2006, Pathways Pastoral Counseling moved its office from Westminster Presbyterian Church to St. Christopher's Episcopal Church. Pathways was created to be a service and a resource to the Upstate community regardless of any religion or religious affiliation. Its continuance is established by fees collected for counseling services and by generous donations of individuals and families who support the mission.

Pathways Pastoral Counseling has established a special fund to address ongoing needs. Tthe Tim Taylor Memorial Scholarship Fund, which was begun to assist those with financial needs to help pay for co-payments using insurance, or even full fees on a per patient basis.