| Illuminated Path, Llc | |
|
8317 E Wilshire Dr Scottsdale AZ 85257-2352 | |
| (480) 430-6540 | |
| Not Available |
| Full Name | Illuminated Path, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8317 E Wilshire Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Regina Robison (OWNER) |
| Authorized Official Contact | 4803311308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminated Path, Llc 8317 E Wilshire Dr Scottsdale AZ 85257-2352 Ph: (480) 430-6540 | Illuminated Path, Llc 8317 E Wilshire Dr Scottsdale AZ 85257-2352 Ph: (480) 430-6540 |
| NPI Number | 1093576282 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093576282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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