Healthcare Provider Details

I. General information

NPI: 1043114820
Provider Name (Legal Business Name): HEALING PATHS COUNSELING CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 LINDEN AVE STE 255
DAYTON OH
45432-3051
US

IV. Provider business mailing address

4130 LINDEN AVE STE 255
DAYTON OH
45432-3051
US

V. Phone/Fax

Practice location:
  • Phone: 513-428-2204
  • Fax:
Mailing address:
  • Phone: 513-428-2204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRITTANY LEWIS
Title or Position: THERAPIST
Credential: LISW
Phone: 513-428-2204