| Illuminating Pathways Llc | |
|
3186 Sharpsville Rd Lynchburg OH 45142-9342 | |
| (937) 725-9708 | |
| Not Available |
| Full Name | Illuminating Pathways Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3186 Sharpsville Rd, Lynchburg, Ohio |
| Authorized Official Name and Position | Robin Smalley (OWNER/ ADMINISTRATION/PROVIDER) |
| Authorized Official Contact | 9377259708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Pathways Llc 3186 Sharpsville Rd Lynchburg OH 45142-9342 Ph: (937) 725-9708 | Illuminating Pathways Llc 3186 Sharpsville Rd Lynchburg OH 45142-9342 Ph: (937) 725-9708 |
| NPI Number | 1649096637 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649096637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |