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Organization
THE HEALING PATH, FAMILY COUNSELING CENTER, INC.
Active
Organization
THE HEALING PATH, FAMILY COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYNN NICKENS (OWNER)
(321) 506-4625
Entity
Organization
Contact information
Practice address
810 HOLLYWOOD BLVD, WEST MELBOURNE, FL 32904-7418
(321) 506-4625
(321) 723-8233
Mailing address
3565 HAMMOCK TRL, MELBOURNE, FL 32934-8321
(321) 506-4625
(321) 723-8233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH8021
FL
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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