Path Forward Wellbeing LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PATH FORWARD WELLBEING LLC

Practice address

5405 Osgood Ave S
Afton, MN 55001-9628

Phone

(651) 295-9668

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy Ratliff

Title

Owner

Phone

(651) 295-9668

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1295562874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 OSGOOD AVE S",
            "city": "AFTON",
            "state": "MN",
            "postal_code": "550019628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 OSGOOD AVE S",
            "city": "AFTON",
            "state": "MN",
            "postal_code": "550019628",
            "telephone_number": "651-295-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH FORWARD WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "RATLIFF",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-295-9668"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Afton, MN
• Providers in Afton, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.