| Illuminating Pathways Llc | |
|
231 W Bay Ave Longwood FL 32750-4125 | |
| (407) 801-4846 | |
| Not Available |
| Full Name | Illuminating Pathways Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 231 W Bay Ave, Longwood, Florida |
| Authorized Official Name and Position | Rachelle Burque (MENTAL HEALTH COUNSELOR/OWNER) |
| Authorized Official Contact | 4078014846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Pathways Llc 231 W Bay Ave Longwood FL 32750-4125 Ph: (407) 801-4846 | Illuminating Pathways Llc 231 W Bay Ave Longwood FL 32750-4125 Ph: (407) 801-4846 |
| NPI Number | 1538922521 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538922521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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