The Illumination Foundation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE ILLUMINATION FOUNDATION

Doing business as

Pathways to Recovery

Practice address

248 Union Road 295
El Dorado, AR 71730-8742

Phone

(870) 315-5137

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Shannon Nicole Smith

Title

Executive Director

Phone

(870) 315-5137

Specialties & licenses 1

Addresses

Other names 1

• Pathways to Recovery Doing business as

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1982330452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 UNION ROAD 295",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 UNION ROAD 295",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308742",
            "telephone_number": "870-315-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ILLUMINATION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-315-5137"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways to Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Taylor, BS
• Joe L Templeton Jr., O.D.
• The Cove Counseling & Wellness, LLC
• The El Dorado Ar Multispecialty ASC LLC
• The Guinn Clinic, PLLC
• The Imagination Station LLC
• Thomas L Kennedy Jr MD PLLC
• Benita Thomason, PHARMD
• Sanequa Thompson, APRN, FNP-C
• Tara Lee Thompson, PT, DPT

• Clinic/Center in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.