| Healing Path Wellness Llc | |
|
7505 Waters Ave Ste C5 Savannah GA 31406-3820 | |
| (912) 231-5251 | |
| Not Available |
| Full Name | Healing Path Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7505 Waters Ave Ste C5, Savannah, Georgia |
| Authorized Official Name and Position | Erica Parker (OWNER) |
| Authorized Official Contact | 9125727585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Path Wellness Llc 2126 E Victory Dr # 110 Savannah GA 31404-3918 Ph: (912) 231-5251 | Healing Path Wellness Llc 7505 Waters Ave Ste C5 Savannah GA 31406-3820 Ph: (912) 231-5251 |
| NPI Number | 1073164315 |
|---|---|
| Provider Enumeration Date | 09/27/2019 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Medicare PECOS PAC ID | 7214367713 |
|---|---|
| Medicare Enrollment ID | O20200424000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073164315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Erica Dyal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972160604 PECOS PAC ID: 8820428329 Enrollment ID: I20200424000857 |
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