Healthcare Provider Details

I. General information

NPI: 1750183380
Provider Name (Legal Business Name): HOLISTIC PATHWAYS THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9160 FAIRBANKS LN APT 4
BOCA RATON FL
33496-6660
US

IV. Provider business mailing address

9160 FAIRBANKS LN APT 4
BOCA RATON FL
33496-6660
US

V. Phone/Fax

Practice location:
  • Phone: 561-929-3727
  • Fax: 561-929-3727
Mailing address:
  • Phone: 561-929-3727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CECILIA BAEZ
Title or Position: CEO
Credential: LMHC
Phone: 561-929-3727