Provider Demographics
NPI:1699524660
Name:THE HEALING PATH, LLC
Entity type:Organization
Organization Name:THE HEALING PATH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DESS
Authorized Official - Suffix:
Authorized Official - Credentials:DSW
Authorized Official - Phone:228-574-5628
Mailing Address - Street 1:4011 BEATLINE RD STE 9
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:MS
Mailing Address - Zip Code:39560-4138
Mailing Address - Country:US
Mailing Address - Phone:229-574-5628
Mailing Address - Fax:
Practice Address - Street 1:4011 BEATLINE RD STE 9
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:MS
Practice Address - Zip Code:39560-4138
Practice Address - Country:US
Practice Address - Phone:228-574-5628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty