| Lighted Path Recovery Center | |
|
4216 102nd St Ste 15 Lubbock TX 79423-5707 | |
| (682) 738-5482 | |
| Not Available |
| Full Name | Lighted Path Recovery Center |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4216 102nd St Ste 15, Lubbock, Texas |
| Authorized Official Name and Position | Cynthia Jefferson (OWNER) |
| Authorized Official Contact | 6827385482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighted Path Recovery Center 4410 121st Ln Lubbock TX 79424-1386 Ph: () - | Lighted Path Recovery Center 4216 102nd St Ste 15 Lubbock TX 79423-5707 Ph: (682) 738-5482 |
| NPI Number | 1144875949 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 04/07/2023 |
| Certification Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144875949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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