Organization
PATH TO HEALING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA A GATES LCSW (OWNER/PRACTITIONER)
(815) 288-1235
Entity
Organization
Contact information
Practice address
404 N GALENA AVE, SUITE L10, DIXON, IL 61021-2115
(815) 288-1235
(815) 288-0034
Mailing address
404 N GALENA AVE, SUITE L10, DIXON, IL 61021-2115
(815) 288-1235
(815) 288-0034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149010806
IL
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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