Healing Path Therapy P.C.
Social Worker, Clinical in Pittsboro, IN. Organization (NPI-2).
NPI number1689360356
StatusActive
Last updated in NPPESApr 14, 2023
Details
- NPI
- 1689360356
- Entity type
- Organization (NPI-2)
- Legal business name
- Healing Path Therapy P.C.
- Organization subpart
- No
- Enumeration date
- Apr 14, 2023
- Certification date
- Apr 14, 2023
- Last updated
- Apr 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1731 E County Road 600 NPittsboro, IN 46167-9011
Phone 317-316-9733
Mailing address
1731 E County Road 600 NPittsboro, IN 46167-9011
Phone 317-938-8517
Authorized official
Chanda Elaine Boyden-Deidrick
Owner/Mental Health Clinician
3173169733
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