MEDICARE: HEALING PATHWAYS FOUNDATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	103TF0200X	Forensic Psychologist
3	103TH0004X	Health Psychologist
4	104100000X	Social Worker
5	133NN1002X	Nutrition Education Nutritionist
6	136A00000X	Registered Dietetic Technician
7	171400000X	Health & Wellness Coach
8	171M00000X	Case Manager/Care Coordinator
9	175T00000X	Peer Specialist
10	221700000X	Art Therapist
11	251B00000X	Case Management Agency
12	251S00000X	Community/Behavioral Health Agency
13	363L00000X	Nurse Practitioner
14	363LA2200X	Adult Health Nurse Practitioner
15	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1922971225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING PATHWAYS FOUNDATION

Provider Business Mailing Address
First Line	:	178 COUNTY ROAD 748
Second Line	:
City	:	ENTERPRISE
State	:	AL
Zip	:	36330-0203
Country	:	US
Telephone Number	:	334-379-8238
Fax Number	:

Provider Business Practice Location Address
First Line	:	1977 J N PEASE PL STE 203
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4527
Country	:	US
Telephone Number	:	980-237-2709
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANGELA MARIE REID
Credential	:	LCSWA, MSW, M.ED
Telephone Number	:	704-906-9346

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	09/24/2025

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Directions to “HEALING PATHWAYS FOUNDATION ” Practice Location

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