Illuminated Path LLC
Organization Active NPI Professional Counselor · Johnstown, CO
NPI 1093106957 · NPPES record last updated Feb 13, 2015
Key facts
- NPI
- 1093106957
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5634 (CO)
- Legal business name
- ILLUMINATED PATH LLC
- Practice address
- 305 W South 1St St
Johnstown, CO 80534-9086 - Phone
- (970) 231-2681
- NPI assigned
- Feb 13, 2015
- Organization subpart
- No
Authorized official
- Name
- Christy Kraft
- Title
- Owner
- Phone
- (970) 391-0201
Practitioners 2
-
Tiffani Martin, PHD
-
Alyssa L Wermers, LCSW
National Provider Directory
Locations
305 Ws 1st St
Johnstown, CO 80534
Phone (720) 422-4120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 5634 | CO | Yes |
Addresses
Primary practice location
305 W South 1St St
Johnstown, CO 80534-9086
Mailing address
567 S Saint Louis Ave
Loveland, CO 80537-6401
Phone (970) 391-0201
Other providers in Johnstown, CO
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- Sarah Howe
- Andrea Howerton
- Brittany Hunter
- Netanya Huska
- Imprint Family Chiropractic, LLC
- Courtney Beth Isley
- Barbara Ann Jackson
- Jeffrey S Tippets DDS PC
- Jeremy T. Sharp, PH.D., LLC
All providers in Johnstown, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.