Enlightened Path Pllc

NPI #1487537189 in Provo, Utah

Provider Information

NPI Number: 1487537189
Entity Type: Organization
Organization Name: Enlightened Path Pllc
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Jul 29, 2025
Last Updated: Jul 29, 2025

Practice Location

Address: 1881 N 1120 W
City: Provo
State: Utah
ZIP Code: 84604-1180
Phone: (385) 233-0672

Authorized Official

Name: KIMBERLIE JOHNSON, LCSW
Title: OWNER
Phone: (385) 233-0672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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