| Illuminating Pathways Counseling Services Llc | |
|
119 Executive Way Ste 305 Desoto TX 75115-2341 | |
| (469) 454-0389 | |
| Not Available |
| Full Name | Illuminating Pathways Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 119 Executive Way Ste 305, Desoto, Texas |
| Authorized Official Name and Position | Breana Lyn Williams (PROVIDER) |
| Authorized Official Contact | 4694540389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Pathways Counseling Services Llc 2840 Dusty Rd Forney TX 75126-1600 Ph: (214) 477-4551 | Illuminating Pathways Counseling Services Llc 119 Executive Way Ste 305 Desoto TX 75115-2341 Ph: (469) 454-0389 |
| NPI Number | 1679466585 |
|---|---|
| Provider Enumeration Date | 05/30/2025 |
| Last Update Date | 05/30/2025 |
| Certification Date | 05/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679466585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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