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Organization
PATHWAYS TO HEALING THERAPY SERVICES
Active
Organization
PATHWAYS TO HEALING THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY S LANE LCSW (OWNER)
(217) 836-6101
Entity
Organization
Contact information
Practice address
3001 MONTVALE DR STE F, SPRINGFIELD, IL 62704-5361
(217) 836-6101
Mailing address
1605 S DOUGLAS AVE, SPRINGFIELD, IL 62704-3517
(217) 836-6101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
08/06/2023
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