Organization
PATH TO MENTAL HEALTH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOUAD ALFARAJ NP (PMHNP)
(616) 617-3905
Entity
Organization
Contact information
Practice address
12116 ROMEO LN, WASHINGTON, MI 48094-3195
(616) 617-3905
Mailing address
12116 ROMEO LN, WASHINGTON, MI 48094-3195
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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