| Lighted Pathways Therapy, Llc | |
|
299 Coon Rapids Blvd Nw Ste 205 Coon Rapids MN 55433-5805 | |
| (763) 290-6667 | |
| (763) 340-0730 |
| Full Name | Lighted Pathways Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 299 Coon Rapids Blvd Nw Ste 205, Coon Rapids, Minnesota |
| Authorized Official Name and Position | Jessica Lynn Morton (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7632906667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighted Pathways Therapy, Llc 299 Coon Rapids Blvd Nw Ste 205 Coon Rapids MN 55433-5805 Ph: (763) 290-6667 | Lighted Pathways Therapy, Llc 299 Coon Rapids Blvd Nw Ste 205 Coon Rapids MN 55433-5805 Ph: (763) 290-6667 |
| NPI Number | 1306543145 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306543145 | NPI | - | NPPES |
| 1285012823 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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