LIGHTED PATH PLLC
NPI 1134446958
Community/Behavioral Health in Conway, AR

Q: What is Lighted Path PLLC's NPI number?

The NPI number for Lighted Path PLLC is 1134446958. It was assigned to this organization in the NPPES registry on May 4, 2010.

Q: What is Lighted Path PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Lighted Path PLLC was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2010

1124 OAK ST, SUITE 250, CONWAY, AR 72032(804) 592-1205(866) 388-8128 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lighted Path Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTED PATH PLLC (NPI 1134446958) is a healthcare organization registered as a community/behavioral health in Conway, Arkansas and active in the NPI registry since May 2010. The organization lists Jeremy Lynn Dicicco, President, as its authorized official.

NPPES Registry Identity

NPI1134446958

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameLIGHTED PATH PLLC

Location Address1124 OAK ST, SUITE 250Conway, AR 72032-4318

Mailing AddressPo Box 224, Suite 250Conway, AR 72033-0224 · (804) 592-1205 · Fax (866) 388-8128

Phone(804) 592-1205

Fax(866) 388-8128

Organization SubpartNo

Authorized OfficialJeremy Lynn DiciccoPresident · (804) 592-1205

Enumeration DateMay 4, 2010

Last NPPES UpdateJuly 9, 2010

✔ NPI 1134446958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1124 OAK ST, Conway, AR 72032

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighted Path PLLC's NPI number?

The NPI number for Lighted Path PLLC is 1134446958. It was assigned to this organization in the NPPES registry on May 4, 2010.

Where is Lighted Path PLLC located?

Lighted Path PLLC is located at 1124 Oak St Suite 250, Conway, AR 72032. The listed phone number is (804) 592-1205.

What is Lighted Path PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lighted Path PLLC was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.