Provider Demographics
NPI:1003601899
Name:YOUR PATH TO WHOLENESS 3C LLC
Entity type:Organization
Organization Name:YOUR PATH TO WHOLENESS 3C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:470-957-7282
Mailing Address - Street 1:7576 COLE LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-1090
Mailing Address - Country:US
Mailing Address - Phone:470-957-7282
Mailing Address - Fax:404-738-4488
Practice Address - Street 1:7576 COLE LN
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-1090
Practice Address - Country:US
Practice Address - Phone:470-957-7282
Practice Address - Fax:404-738-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty