| Healing Path Clinic Llc | |
|
1727 Lake Charlotte Ln Richmond TX 77406-8096 | |
| (832) 584-4092 | |
| (832) 584-4092 |
| Full Name | Healing Path Clinic Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1727 Lake Charlotte Ln, Richmond, Texas |
| Authorized Official Name and Position | Odiri Akushe (CEO) |
| Authorized Official Contact | 8325844092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Path Clinic Llc 1727 Lake Charlotte Ln Richmond TX 77406-8096 Ph: (832) 584-4092 | Healing Path Clinic Llc 1727 Lake Charlotte Ln Richmond TX 77406-8096 Ph: (832) 584-4092 |
| NPI Number | 1073124624 |
|---|---|
| Provider Enumeration Date | 08/16/2020 |
| Last Update Date | 09/27/2020 |
| Certification Date | 09/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073124624 | NPI | - | NPPES |
| 5586010037 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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