| Healing Pathways Of Springfield, Inc. | |
|
907 Clock Tower Dr Springfield IL 62704-6023 | |
| (217) 685-1639 | |
| Not Available |
| Full Name | Healing Pathways Of Springfield, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 907 Clock Tower Dr, Springfield, Illinois |
| Authorized Official Name and Position | Kristal Lynn Perry Gutierrez (CEO) |
| Authorized Official Contact | 2176851639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Pathways Of Springfield, Inc. 907 Clock Tower Dr Springfield IL 62704-6023 Ph: (217) 685-1639 | Healing Pathways Of Springfield, Inc. 907 Clock Tower Dr Springfield IL 62704-6023 Ph: (217) 685-1639 |
| NPI Number | 1144644097 |
|---|---|
| Provider Enumeration Date | 02/13/2014 |
| Last Update Date | 02/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144644097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180005489 (Illinois) | Primary |
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