Organization
ILLUMINATING PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SMALLEY LPC (OWNER/ ADMINISTRATION/PROVIDER)
(937) 725-9708
Entity
Organization
Contact information
Practice address
3186 SHARPSVILLE RD, LYNCHBURG, OH 45142-9342
(937) 725-9708
Mailing address
3186 SHARPSVILLE RD, LYNCHBURG, OH 45142-9342
(937) 725-9708
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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