Provider Demographics
NPI:1689021925
Name:HEALING PATHWAYS COUNSELING AND CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:HEALING PATHWAYS COUNSELING AND CONSULTING SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER LLC/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-536-1395
Mailing Address - Street 1:1310 MIDDLEFORD ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SEAFOND
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3670
Mailing Address - Country:US
Mailing Address - Phone:302-536-1395
Mailing Address - Fax:302-536-7498
Practice Address - Street 1:1310 MIDDLEFORD ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:SEAFOND
Practice Address - State:DE
Practice Address - Zip Code:19973-3670
Practice Address - Country:US
Practice Address - Phone:302-536-1395
Practice Address - Fax:302-536-7498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 251S00000X
DE101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty