| Enlightened Path | |
|
5544 Myron Cir Las Vegas NV 89142-1123 | |
| (505) 814-9745 | |
| Not Available |
| Full Name | Enlightened Path |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5544 Myron Cir, Las Vegas, Nevada |
| Authorized Official Name and Position | Yauncay J Lucas (CFO/CEO) |
| Authorized Official Contact | 5058149745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enlightened Path 5544 Myron Cir Las Vegas NV 89142-1123 Ph: () - | Enlightened Path 5544 Myron Cir Las Vegas NV 89142-1123 Ph: (505) 814-9745 |
| NPI Number | 1083150379 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083150379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2002981062101 (Nevada) | Primary |
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