Provider Demographics
NPI:1588461073
Name:PATH TO EMPOWERED HEALING COUNSELING LLC
Entity type:Organization
Organization Name:PATH TO EMPOWERED HEALING COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-999-8307
Mailing Address - Street 1:49 PUTNAM BLVD # 1205
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1079
Mailing Address - Country:US
Mailing Address - Phone:860-999-8307
Mailing Address - Fax:
Practice Address - Street 1:1224 MILL ST BLDG B
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06023-1159
Practice Address - Country:US
Practice Address - Phone:860-828-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty