Provider Demographics
NPI:1083328553
Name:HEALING PATH BEHAVIORAL CONSULTANTS LLC
Entity Type:Organization
Organization Name:HEALING PATH BEHAVIORAL CONSULTANTS LLC
Other - Org Name:HEALING PATH BEHAVIORAL CONSULTANTS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CORINTHIANS
Authorized Official - Middle Name:D
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:706-341-1377
Mailing Address - Street 1:PO BOX 4732
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31914-0732
Mailing Address - Country:US
Mailing Address - Phone:706-341-1377
Mailing Address - Fax:706-940-4155
Practice Address - Street 1:3100 GENTIAN BLVD STE 5B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-2678
Practice Address - Country:US
Practice Address - Phone:706-341-1377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty