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Organization
PATH OF CHANGE COUNSELING
Active
Organization
PATH OF CHANGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY KIANA HAYNES LMHC (MEMBER)
(904) 250-2436
Entity
Organization
Contact information
Practice address
2267 COVENTRY DR, WINTER PARK, FL 32792-2214
(904) 250-2436
Mailing address
3415 W LAKE MARY BLVD UNIT 950460, LAKE MARY, FL 32795-7520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
Other
Enumeration date
09/29/2026
Last updated
09/29/2026
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