# HEALING PATH CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073124624
- **Authorized official:** MR. ODIRI AKUSHE (CEO)
- **Authorized official phone:** (832) 584-4092

## Contact information

- **Practice address:** 1727 LAKE CHARLOTTE LN, RICHMOND, TX 77406-8096
- **Practice address phone:** (832) 584-4092
- **Practice address fax:** (832) 584-4092
- **Mailing address:** 1727 LAKE CHARLOTTE LN, RICHMOND, TX 77406-8096
- **Mailing address phone:** (832) 584-4092
- **Mailing address fax:** (832) 584-4092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2020
- **Last updated:** 09/27/2020