Provider Demographics
NPI:1740721315
Name:THE PATH TO HEALING LLC
Entity type:Organization
Organization Name:THE PATH TO HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:YOUNGS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MCAP
Authorized Official - Phone:561-886-7985
Mailing Address - Street 1:2200 N FEDERAL HWY
Mailing Address - Street 2:SUITE 219
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7766
Mailing Address - Country:US
Mailing Address - Phone:561-886-7985
Mailing Address - Fax:
Practice Address - Street 1:2200 N FEDERAL HWY
Practice Address - Street 2:SUITE 219
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7766
Practice Address - Country:US
Practice Address - Phone:561-886-7985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6685261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)