Provider Demographics
NPI:1043459548
Name:A HEALING PATH, LLC
Entity type:Organization
Organization Name:A HEALING PATH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAUGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LMFT
Authorized Official - Phone:252-367-9377
Mailing Address - Street 1:1603 OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4626
Mailing Address - Country:US
Mailing Address - Phone:252-367-9377
Mailing Address - Fax:252-756-9040
Practice Address - Street 1:1928 FORT BRAGG RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-6806
Practice Address - Country:US
Practice Address - Phone:252-367-9377
Practice Address - Fax:252-756-9040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-07
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1029261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC315930OtherTRICARE
NC6105112Medicaid
NC135N2OtherBLUE CROSS/BLUE SHIELD