Provider Demographics
NPI:1790449767
Name:HEALING PATHWAYS, LLC
Entity Type:Organization
Organization Name:HEALING PATHWAYS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHROEPFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-904-2119
Mailing Address - Street 1:7310 N ALPINE RD
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-3902
Mailing Address - Country:US
Mailing Address - Phone:815-904-2119
Mailing Address - Fax:
Practice Address - Street 1:7310 N ALPINE RD
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-3902
Practice Address - Country:US
Practice Address - Phone:815-904-2119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)