# THE HEALING PATH, FAMILY COUNSELING CENTER, INC.

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

## Provider details

- **NPI number:** 1952660698
- **Authorized official:** DEBORAH LYNN NICKENS (OWNER)
- **Authorized official phone:** (321) 506-4625

## Contact information

- **Practice address:** 810 HOLLYWOOD BLVD, WEST MELBOURNE, FL 32904-7418
- **Practice address phone:** (321) 506-4625
- **Practice address fax:** (321) 723-8233
- **Mailing address:** 3565 HAMMOCK TRL, MELBOURNE, FL 32934-8321
- **Mailing address phone:** (321) 506-4625
- **Mailing address fax:** (321) 723-8233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | IMH8021 | FL | Yes |

## Other

- **Enumeration date:** 05/15/2012
- **Last updated:** 05/15/2012