# PATH TO FREEDOM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Path to Freedom LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710782685
- **Authorized official:** JERICA FOXWORTH NP (PMHNP)
- **Authorized official phone:** (601) 202-0847

## Contact information

- **Practice address:** 228 BROADWAY DR STE 5, HATTIESBURG, MS 39401-5074
- **Practice address phone:** (601) 202-0847
- **Mailing address:** 148 STEEP HOLW, HATTIESBURG, MS 39402-7004
- **Mailing address phone:** (601) 316-0019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2025
- **Last updated:** 02/19/2025