Provider Demographics
NPI:1275311375
Name:HEALING PATHWAYS THERAPY CENTER LLC
Entity Type:Organization
Organization Name:HEALING PATHWAYS THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-338-3021
Mailing Address - Street 1:208 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1920
Mailing Address - Country:US
Mailing Address - Phone:609-338-3021
Mailing Address - Fax:
Practice Address - Street 1:1800 NEW RD STE 100
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-2017
Practice Address - Country:US
Practice Address - Phone:609-338-3021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)