# ILLUMINATED PATH LLC

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

## Provider details

- **NPI number:** 1689138877
- **Authorized official:** SARITHA L FARRIS LCSW (OWNER)
- **Authorized official phone:** (702) 886-0961

## Contact information

- **Practice address:** 7351 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89117-1572
- **Practice address phone:** (702) 886-0961
- **Mailing address:** PO BOX 82335, LAS VEGAS, NV 89180-2335
- **Mailing address phone:** (702) 886-0961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2019
- **Last updated:** 01/22/2019