Organization Active NPI

Healing Path Wellness Services PA

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1285116087
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALING PATH WELLNESS SERVICES PA
Practice address
115 E Lake St Ste 201
Minneapolis, MN 55408-3368
Phone
(408) 836-3881
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sulekha Ibrahim, RN
Title
Owner
Phone
(612) 886-1325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

115 E Lake St Ste 201
Minneapolis, MN 55408-3368

Mailing address

115 E Lake St Ste 201
Minneapolis, MN 55408-3368

National Provider Directory

National Provider Directory

Locations

115 E Lake St
Ste 201
Minneapolis, MN 55408
Phone (408) 836-3881

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1285116087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LAKE ST STE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LAKE ST STE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083368",
            "telephone_number": "408-836-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATH WELLNESS SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "SULEKHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-886-1325",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.