Organization
THE LIGHTED PATH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARENA GREEN LCPC (OWNER/MANAGER)
(708) 595-7101
Entity
Organization
Contact information
Practice address
917 W 18TH ST STE 210, CHICAGO, IL 60608-2400
(708) 595-7101
Mailing address
7336 RANDOLPH ST APT 2, FOREST PARK, IL 60130-1374
(708) 860-0240
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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