Organization
HEALING PATHWAYS OF SPRINGFIELD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTAL LYNN PERRY GUTIERREZ MA, LCPC (CEO)
(217) 685-1639
Entity
Organization
Contact information
Practice address
907 CLOCK TOWER DR, SPRINGFIELD, IL 62704-6023
(217) 685-1639
Mailing address
907 CLOCK TOWER DR, SPRINGFIELD, IL 62704-6023
(217) 685-1639
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180005489
IL
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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