LIGHTED PATH THERAPY SERVICES NPI 1093212466

NPI Information

NPI: 1093212466
Provider Name: LIGHTED PATH THERAPY SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
901 N. LEATHERLEAF LOOP SUITE 103
WASILLA, AK
ZIP 99654
Phone: (907) 312-1202
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LIGHTED PATH THERAPY SERVICES is a professional counselor in Wasilla, AK. LIGHTED PATH THERAPY SERVICES NPI is 1093212466. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

901 N. LEATHERLEAF LOOP SUITE 103
WASILLA, AK
ZIP 99654
Phone: (907) 312-1202
Fax: (855) 553-8083

The provider's authorized official is Bradford Eric Holl .
The authorized official title is Owner and has the following contact phone number (907) 312-1202.

The enumeration date for this NPI number is 4/11/2018 and was last updated on 4/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	809	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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