Organization
HEALING PATHWAYS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIX KAVRAN LCPC (OWNER)
(779) 210-4987
Entity
Organization
Contact information
Practice address
7310 N ALPINE RD, LOVES PARK, IL 61111-3902
(815) 904-2119
Mailing address
7310 N ALPINE RD, LOVES PARK, IL 61111-3902
(815) 904-2119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/26/2021
Last updated
08/26/2024
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