Provider Demographics
NPI:1952036774
Name:HEALING PATH LLC
Entity Type:Organization
Organization Name:HEALING PATH LLC
Other - Org Name:THE HEALING PATH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:334-538-0528
Mailing Address - Street 1:9146 EASTCHASE PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-6883
Mailing Address - Country:US
Mailing Address - Phone:334-450-8236
Mailing Address - Fax:
Practice Address - Street 1:8436 CROSSLAND LOOP STE 102
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8522
Practice Address - Country:US
Practice Address - Phone:334-538-0528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty