Lighted Path Pllc

LBN: Lighted Path Pllc
Lighted Path Pllc is an health care organization with primary practice located at 1124 Oak St Suite 250, Conway AR 72032-4318. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lighted Path Pllc can be contacted via phone (804) 592-1205, or through Dicicco, Jeremy Lynn via phone (804) 592-1205.

Contact Information

Primary practice address
1124 Oak St Suite 250 Conway AR 72032-4318
Phone: (804) 592-1205
Fax: (866) 388-8128
Website:
Map and Directions
Authorized official contact:
Name: Dicicco, Jeremy Lynn MA, LAC, CRC
Phone: (804) 592-1205

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1134446958
LBN Legal business name Lighted Path Pllc
DBA Doing business as
Authorized official Dicicco, Jeremy Lynn MA, LAC, CRC
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2010
Last updated Jul 9th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers