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Organization
PATHWAY TO HEALING LLC
Active
Organization
PATHWAY TO HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PANKEY (PRESIDENT)
(813) 705-7093
Entity
Organization
Contact information
Practice address
13184 US HIGHWAY 301 S UNIT 13194, RIVERVIEW, FL 33578-7410
(813) 705-7098
Mailing address
13194 US HIGHWAY 301 S, RIVERVIEW, FL 33578-7410
(813) 705-7093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/12/2021
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