Healthcare Provider Details

I. General information

NPI: 1255269486
Provider Name (Legal Business Name): HEALING PATHWAYS SOCIAL WORK & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6084 SAGE WILLOW WAY
JACKSONVILLE FL
32244-0400
US

IV. Provider business mailing address

6084 SAGE WILLOW WAY
JACKSONVILLE FL
32244-0400
US

V. Phone/Fax

Practice location:
  • Phone: 904-271-0559
  • Fax:
Mailing address:
  • Phone: 904-271-0559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTA MARIE OTERO
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: BSP, MSW, LCSW
Phone: 904-271-0559