Organization
HEALING PATH AND COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISA SOPHIA MOHAMMED PSYD, LP (PSYCHOLOGIST)
(813) 401-7624
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 105, SAINT PAUL, MN 55104-2804
(612) 568-1475
Mailing address
3248 STEVENS AVE, MINNEAPOLIS, MN 55408-3214
(813) 401-7624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
5667
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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