Illuminate My Path Recovery Homes, LLC

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

ILLUMINATE MY PATH RECOVERY HOMES, LLC

Practice address

517 Gristmill LN
Everman, TX 76140-4709

Phone

(214) 429-4920

NPI assigned

Jan 12, 2026

Last updated

Jan 12, 2026By 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

Lisa Lee

Title

Program Director

Phone

(817) 999-9945

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1700744661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 GRISTMILL LN",
            "city": "EVERMAN",
            "state": "TX",
            "postal_code": "761404709",
            "telephone_number": "214-429-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 GRISTMILL LN",
            "city": "EVERMAN",
            "state": "TX",
            "postal_code": "761404709",
            "telephone_number": "214-429-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE MY PATH RECOVERY HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "817-999-9945"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prevention Professional in Everman, TX
• Providers in Everman, TX by specialty
• Prevention Professional in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.