Provider Demographics
NPI:1124828587
Name:PATH TO WELLNESS & RESILIENCE, PLLC
Entity type:Organization
Organization Name:PATH TO WELLNESS & RESILIENCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRICKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:717-598-7372
Mailing Address - Street 1:5231 SOYBEAN DR NE
Mailing Address - Street 2:
Mailing Address - City:WINNABOW
Mailing Address - State:NC
Mailing Address - Zip Code:28479-5852
Mailing Address - Country:US
Mailing Address - Phone:717-598-7372
Mailing Address - Fax:
Practice Address - Street 1:5231 SOYBEAN DR NE
Practice Address - Street 2:
Practice Address - City:WINNABOW
Practice Address - State:NC
Practice Address - Zip Code:28479-5852
Practice Address - Country:US
Practice Address - Phone:717-598-7372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty