Organization
A HEALING PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA S WORLEY MS, LPC (DIRECTOR)
(918) 575-0687
Entity
Organization
Contact information
Practice address
621 S 4TH ST, STILWELL, OK 74960-4215
(918) 696-2181
(918) 696-2182
Mailing address
621 S 4TH ST, STILWELL, OK 74960-4215
(918) 696-2181
(918) 696-2182
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
3693
OK
251S00000X
Community/Behavioral Health Agency
Primary
3693
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20050420A
—
OK
Enumeration date
07/11/2014
Last updated
03/31/2023
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