MEDICARE: HEALING PATH THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1710810767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING PATH THERAPY LLC

Provider Business Mailing Address
First Line	:	24 PROFESSIONAL VILLAGE CIR
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29907-1570
Country	:	US
Telephone Number	:	843-929-8550
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 PROFESSIONAL VILLAGE CIR
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29907-1570
Country	:	US
Telephone Number	:	843-929-8550
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VALERIE R KIDD
Credential	:	LPC
Telephone Number	:	843-929-8550

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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