| Light To My Path Therapeutic Services Inc. | |
|
99 Village Dr Ste 15 Jacksonville NC 28546-7060 | |
| (910) 455-1922 | |
| (910) 455-1921 |
| Full Name | Light To My Path Therapeutic Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 99 Village Dr Ste 15, Jacksonville, North Carolina |
| Authorized Official Name and Position | Dorothy Robinson (PRESIDENT) |
| Authorized Official Contact | 9104551922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light To My Path Therapeutic Services Inc. 99 Village Dr Ste 15 Jacksonville NC 28546-7060 Ph: (910) 455-1922 | Light To My Path Therapeutic Services Inc. 99 Village Dr Ste 15 Jacksonville NC 28546-7060 Ph: (910) 455-1922 |
| NPI Number | 1053444885 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 02/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053444885 | NPI | - | NPPES |
| 8301134 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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