Active NPI
Healing Path Wellness Services PA
- Multi-Specialty Clinic/Center
- Minneapolis, MN
National Provider Identifier
1285116087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.