| Healing Path Llc | |
|
8436 Crossland Loop Ste 102 Montgomery AL 36117-8522 | |
| (334) 538-0528 | |
| Not Available |
| Full Name | Healing Path Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8436 Crossland Loop Ste 102, Montgomery, Alabama |
| Authorized Official Name and Position | Patricia Ford (SOCIAL WORKER) |
| Authorized Official Contact | 3345380528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Path Llc 9146 Eastchase Pkwy Ste 200 Montgomery AL 36117-6883 Ph: (334) 450-8236 | Healing Path Llc 8436 Crossland Loop Ste 102 Montgomery AL 36117-8522 Ph: (334) 538-0528 |
| NPI Number | 1952036774 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 7911356795 |
|---|---|
| Medicare Enrollment ID | O20231206001759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952036774 | NPI | - | NPPES |
| Provider Name | Patricia Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265782221 PECOS PAC ID: 0143658195 Enrollment ID: I20231206001873 |
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