Provider Demographics
NPI:1568279735
Name:HEALING PATH
Entity type:Organization
Organization Name:HEALING PATH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:A ALLMENDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LADC PLMHP PMSW
Authorized Official - Phone:402-719-6666
Mailing Address - Street 1:452 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-4221
Mailing Address - Country:US
Mailing Address - Phone:402-719-6666
Mailing Address - Fax:
Practice Address - Street 1:1835 E MILITARY AVE STE 105
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5477
Practice Address - Country:US
Practice Address - Phone:402-719-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty