| Light Path Mental Health Services Llc | |
|
3715 N Crest Cir Wichita KS 67226-1032 | |
| (770) 639-2181 | |
| Not Available |
| Full Name | Light Path Mental Health Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3715 N Crest Cir, Wichita, Kansas |
| Authorized Official Name and Position | Erica Haughton (DIRECTOR) |
| Authorized Official Contact | 7706392181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Path Mental Health Services Llc 3715 N Crest Cir Wichita KS 67226-1032 Ph: (770) 639-2181 | Light Path Mental Health Services Llc 3715 N Crest Cir Wichita KS 67226-1032 Ph: (770) 639-2181 |
| NPI Number | 1760216451 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760216451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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