Organization
ENLIGHTENED PATH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLIE JOHNSON LCSW (OWNER)
(385) 233-0672
Entity
Organization
Contact information
Practice address
1881 N 1120 W, PROVO, UT 84604-1180
(385) 233-0672
Mailing address
1463 S 3750 E, SPANISH FORK, UT 84660-6387
(385) 225-5810
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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