Provider Demographics
NPI:1861100364
Name:THE PATH TO RECOVERY WITH HELPING HANDS
Entity type:Organization
Organization Name:THE PATH TO RECOVERY WITH HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:SHANTA
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-672-0827
Mailing Address - Street 1:2801 RUCKER BLVD #154
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-7500
Mailing Address - Country:US
Mailing Address - Phone:334-672-0827
Mailing Address - Fax:
Practice Address - Street 1:2801 RUCKER BLVD # 154
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-4468
Practice Address - Country:US
Practice Address - Phone:334-672-0827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty