| Litedpath, Llc | |
|
123 West Nye Lane Suite #525 Carson City NV 89706 | |
| (775) 400-2996 | |
| (866) 244-3992 |
| Full Name | Litedpath, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 123 West Nye Lane, Carson City, Nevada |
| Authorized Official Name and Position | Kristopher Komarek (CO-OWNER) |
| Authorized Official Contact | 7754507411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Litedpath, Llc Po Box 582 Aguada PR 00602-0582 Ph: (775) 450-7411 | Litedpath, Llc 123 West Nye Lane Suite #525 Carson City NV 89706 Ph: (775) 400-2996 |
| NPI Number | 1295488799 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Certification Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295488799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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