Provider Demographics
NPI:1033312236
Name:A PATH TO HEALING, PLLC
Entity Type:Organization
Organization Name:A PATH TO HEALING, PLLC
Other - Org Name:A PATH TO HEALING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SEYMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,BCD,NBCCH
Authorized Official - Phone:228-388-9877
Mailing Address - Street 1:925 TOMMY MUNRO DR
Mailing Address - Street 2:SUITE F1
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2134
Mailing Address - Country:US
Mailing Address - Phone:228-388-9877
Mailing Address - Fax:228-388-9877
Practice Address - Street 1:925 TOMMY MUNRO DR
Practice Address - Street 2:SUITE F1
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2134
Practice Address - Country:US
Practice Address - Phone:228-388-9877
Practice Address - Fax:228-388-9877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC62361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty