| Lighted Path Therapy Services | |
|
901 N. Leatherleaf Loop Suite 103 Wasilla AK 99654 | |
| (907) 312-1202 | |
| (855) 553-8083 |
| Full Name | Lighted Path Therapy Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 901 N. Leatherleaf Loop Suite 103, Wasilla, Alaska |
| Authorized Official Name and Position | Bradford Eric Holl (OWNER) |
| Authorized Official Contact | 9073121202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighted Path Therapy Services Po Box 871336 Wasilla AK 99654 Ph: (907) 312-1202 | Lighted Path Therapy Services 901 N. Leatherleaf Loop Suite 103 Wasilla AK 99654 Ph: (907) 312-1202 |
| NPI Number | 1093212466 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093212466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 809 (Alaska) | Primary |
Sud/bh 1115- Vnpcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 S Knik Goose Bay Rd, Wasilla, AK 99654 Phone: 907-631-7800 | |
Mark Ames Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5431 Mayflower Ln, Suite 2, Wasilla, AK 99654 Phone: 907-376-9369 Fax: 907-376-9363 | |
Ascent Treatment Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5431 E Mayflower Ln Ste 5, Wasilla, AK 99654 Phone: 907-357-6860 | |
Sud 1115- Benteh Nuutah Four Directions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3223 E Palmer Wasilla Hwy, Wasilla, AK 99654 Phone: 907-729-6300 | |
Set Free Alaska, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7010 E Bogard Rd Bldg 1, Wasilla, AK 99654 Phone: 907-373-4732 Fax: 907-746-4749 | |
Flexible Counseling Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 S Check St Ste 110, Wasilla, AK 99654 Phone: 907-376-3539 |