Organization
PATH TO HEALING AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MERCER LMFT (THERAPIST)
(815) 310-0718
Entity
Organization
Contact information
Practice address
400 5TH ST STE 192, PERU, IL 61354-2876
(815) 303-0718
Mailing address
400 5TH ST STE 192, PERU, IL 61354-2876
(815) 310-0718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275706053
—
IL
Enumeration date
02/20/2023
Last updated
12/29/2023
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