# ILLUMINATED PATH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093576282
- **Authorized official:** REGINA ROBISON LPC (OWNER)
- **Authorized official phone:** (480) 331-1308

## Contact information

- **Practice address:** 8317 E WILSHIRE DR, SCOTTSDALE, AZ 85257-2352
- **Practice address phone:** (480) 430-6540
- **Mailing address:** 8317 E WILSHIRE DR, SCOTTSDALE, AZ 85257-2352
- **Mailing address phone:** (480) 430-6540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 01/16/2024