| Lighted Paths Counseling LLC | |
|
3321 Tucker St Omaha NE 68112-1711 | |
| (402) 315-8964 | |
| Not Available |
| Full Name | Lighted Paths Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 3321 Tucker St, Omaha, Nebraska |
| Authorized Official Name and Position | Tiffany Minturn (OWNER) |
| Authorized Official Contact | 4023158964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighted Paths Counseling LLC 3321 Tucker St Omaha NE 68112-1711 Ph: (402) 315-8964 | Lighted Paths Counseling LLC 3321 Tucker St Omaha NE 68112-1711 Ph: (402) 315-8964 |
| NPI Number | 1164203089 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 7113365529 |
|---|---|
| Medicare Enrollment ID | O20240404001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164203089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Tiffany M Minturn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184126021 PECOS PAC ID: 1759729163 Enrollment ID: I20240404001637 |
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