Organization
PATHLIGHT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY JOY SMITH ED.D. (PRESIDENT)
(256) 924-2101
Entity
Organization
Contact information
Practice address
235 HUGHES RD, SUITE B, MADISON, AL 35758-1142
(256) 924-2101
Mailing address
109 KINGSWOOD DR, HUNTSVILLE, AL 35806-1287
(256) 924-2101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC3224
AL
101YP2500X
Professional Counselor
LPC43
TN
103TC1900X
Counseling Psychologist
Primary
P1002
TN
Other
Enumeration date
12/14/2010
Last updated
10/14/2015
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