Organization
PATH TO FREEDOM
Active
Other names
Path to Freedom LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERICA FOXWORTH NP (PMHNP)
(601) 202-0847
Entity
Organization
Contact information
Practice address
228 BROADWAY DR STE 5, HATTIESBURG, MS 39401-5074
(601) 202-0847
Mailing address
148 STEEP HOLW, HATTIESBURG, MS 39402-7004
(601) 316-0019
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2025
Last updated
02/19/2025
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