Organization Active NPI

The Healing Path, LLC

  • Multi-Specialty Clinic/Center
  • Long Beach, MS
National Provider Identifier
1699524660
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE HEALING PATH, LLC
Practice address
4011 Beatline Rd Ste 9
Long Beach, MS 39560-4138
Phone
(228) 574-5628
NPI assigned
May 14, 2024
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Rebekah Dess, DSWNPI 1194379313
Title
Owner
Phone
(228) 574-5628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4011 Beatline Rd Ste 9
Long Beach, MS 39560-4138

Mailing address

4011 Beatline Rd Ste 9
Long Beach, MS 39560-4138
Phone (229) 574-5628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240620002662 MS Part B Supplier - Clinic/Group Practice 4587107313 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1699524660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 BEATLINE RD STE 9",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604138",
            "telephone_number": "229-574-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BEATLINE RD STE 9",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604138",
            "telephone_number": "228-574-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING PATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "DESS",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-574-5628",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.