| Healing Paths Therapy Inc | |
|
460 Heatherglen Ln San Dimas CA 91773-1001 | |
| (081) 861-8281 | |
| Not Available |
| Full Name | Healing Paths Therapy Inc |
|---|---|
| Speciality | Social Worker |
| Location | 460 Heatherglen Ln, San Dimas, California |
| Authorized Official Name and Position | Kemi Arlene Alemoh (THERAPIST) |
| Authorized Official Contact | 6269238083 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Paths Therapy Inc 981 W Arrow Hwy # 4418 San Dimas CA 91773-2410 Ph: (626) 923-8083 | Healing Paths Therapy Inc 460 Heatherglen Ln San Dimas CA 91773-1001 Ph: (081) 861-8281 |
| NPI Number | 1447975842 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 10/07/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 5991211591 |
|---|---|
| Medicare Enrollment ID | O20250721003512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447975842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
| Provider Name | Kemi Arlene Alemoh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891146908 PECOS PAC ID: 9931598836 Enrollment ID: I20211115002861 |
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