Healthcare Provider Details

I. General information

NPI: 1710810767
Provider Name (Legal Business Name): HEALING PATH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 PROFESSIONAL VILLAGE CIR
BEAUFORT SC
29907-1570
US

IV. Provider business mailing address

24 PROFESSIONAL VILLAGE CIR
BEAUFORT SC
29907-1570
US

V. Phone/Fax

Practice location:
  • Phone: 843-929-8550
  • Fax:
Mailing address:
  • Phone: 843-929-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: VALERIE R KIDD
Title or Position: OWNER
Credential: LPC
Phone: 843-929-8550