Path to Freedom
NPI #1710782685 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1710782685
- Entity Type
- Organization
- Organization Name
- Path to Freedom
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Feb 15, 2025
- Last Updated
- Feb 19, 2025
Practice Location
- Address
- 228 BROADWAY DR STE 5
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-5074
- Phone
- (601) 202-0847
Authorized Official
- Name
- JERICA FOXWORTH, NP
- Title
- PMHNP
- Phone
- (601) 202-0847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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