Provider Demographics
NPI:1689485351
Name:HEALING PATH LLC
Entity type:Organization
Organization Name:HEALING PATH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-535-9894
Mailing Address - Street 1:249 COUNTRY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:KS
Mailing Address - Zip Code:67579-9552
Mailing Address - Country:US
Mailing Address - Phone:316-259-7018
Mailing Address - Fax:
Practice Address - Street 1:4601 E DOUGLAS AVE STE 120
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1032
Practice Address - Country:US
Practice Address - Phone:316-535-9894
Practice Address - Fax:316-337-5531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty