Light to My Path Therapeutic Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIGHT TO MY PATH THERAPEUTIC SERVICES INC.

Practice address

99 Village Dr Ste 15
Jacksonville, NC 28546-7060

Phone

(910) 455-1922

Fax

(910) 455-1921

NPI assigned

Mar 13, 2007

Last updated

Feb 2, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dorothy RobinsonNPI 1275604126

Title

President

Phone

(910) 455-1922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dorothy Robinson, QUALIFIED PROFESSION

  • Case Management Agency
  • Jacksonville, NC
  • NPI 1275604126
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1053444885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 VILLAGE DR STE 15",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467060",
            "telephone_number": "910-455-1922",
            "fax_number": "910-455-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 VILLAGE DR STE 15",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467060",
            "telephone_number": "910-455-1922",
            "fax_number": "910-455-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT TO MY PATH THERAPEUTIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-455-1922"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301134",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janelle Libretto, CCC-SLP
• Erik James Lickteig, PA
• Lifequest Disabilities Services
• Lifequest Disabilities Services, Inc
• Lifequest Disabilities Services, Inc.
• Lighthouse Counseling, Inc.
• Elwood Glenn Likens, O.D
• Liminal Healing PLLC
• Diana Chun Lin, L.AC., DAOM
• Linda Shorts Home

• Community/Behavioral Health Agency in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.