MEDICARE: HEALING PATHWAYS SUPPORT AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1295694685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING PATHWAYS SUPPORT AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	5303 RIVER REACH DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-6867
Country	:	US
Telephone Number	:	919-480-7596
Fax Number	:

Provider Business Practice Location Address
First Line	:	5303 RIVER REACH DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-6867
Country	:	US
Telephone Number	:	919-480-7596
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MRS. MELLISA THOMAS
Credential	:	LLC
Telephone Number	:	919-480-7596

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/22/2026

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