Organization
LIGHTED PATHWAYS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMARKUS PHANELSON (CEO)
(276) 618-0759
Entity
Organization
Contact information
Practice address
331 E MAIN ST, ROCK HILL, SC 29730-5371
(276) 618-0759
Mailing address
331 E MAIN ST, ROCK HILL, SC 29730-5371
(276) 618-0759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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