Provider Demographics
NPI:1487119889
Name:HEALING PATH COUNSELING & WELLNESS, P.L.L.C.
Entity type:Organization
Organization Name:HEALING PATH COUNSELING & WELLNESS, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPEC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:G
Authorized Official - Last Name:BOLTJES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:507-449-6144
Mailing Address - Street 1:PO BOX 953
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:MN
Mailing Address - Zip Code:56156-0953
Mailing Address - Country:US
Mailing Address - Phone:605-310-5639
Mailing Address - Fax:
Practice Address - Street 1:215 N. CEDAR ST.
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:MN
Practice Address - Zip Code:56156
Practice Address - Country:US
Practice Address - Phone:507-449-6145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-10
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty