Provider Demographics
NPI:1912750423
Name:A PATH TO HEALING, LLC
Entity Type:Organization
Organization Name:A PATH TO HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:856-981-9905
Mailing Address - Street 1:315 HESSIAN AVE
Mailing Address - Street 2:
Mailing Address - City:NATIONAL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08063-1503
Mailing Address - Country:US
Mailing Address - Phone:856-981-9905
Mailing Address - Fax:
Practice Address - Street 1:4551 BLACK HORSE PIKE STE 5
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1751
Practice Address - Country:US
Practice Address - Phone:856-981-9905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty