Organization
HEALING PATHWAYS SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAVEEN WILSON RN (RN)
(769) 308-6446
Entity
Organization
Contact information
Practice address
36 WOODGATE DR, BRANDON, MS 39042-2214
(769) 308-6446
Mailing address
36 WOODGATE DR, BRANDON, MS 39042-2214
(769) 308-6446
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/09/2026
Last updated
05/11/2026
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