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General NPI Number Information
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NPI Number | 1740721315
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Entity Type | Organization
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Legal Business Name | THE PATH TO HEALING LLC
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 2200 N FEDERAL HWY SUITE 219
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City | BOCA RATON
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State | FL
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Zip | 33431-7766
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Country | US
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Telephone | 561-886-7985
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 N FEDERAL HWY SUITE 219
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City | BOCA RATON
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State | FL
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Zip | 33431-7766
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Country | US
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Telephone | 561-886-7985
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PATRICIA MARIE YOUNGS
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Credential | LMHC, MCAP
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Telephone | 561-886-7985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | MH6685
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License Number State | FL
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