Organization
ILLUMINATED PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARITHA L FARRIS LCSW (OWNER)
(702) 886-0961
Entity
Organization
Contact information
Practice address
7351 W CHARLESTON BLVD STE 140, LAS VEGAS, NV 89117-1572
(702) 886-0961
Mailing address
PO BOX 82335, LAS VEGAS, NV 89180-2335
(702) 886-0961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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