Provider Demographics
NPI:1295527091
Name:ENLIGHTENED PATHWAYS COUNSELING
Entity type:Organization
Organization Name:ENLIGHTENED PATHWAYS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BRODY
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:870-213-7279
Mailing Address - Street 1:6834 CANTRELL RD STE 1556
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4135
Mailing Address - Country:US
Mailing Address - Phone:870-213-7279
Mailing Address - Fax:
Practice Address - Street 1:5 DIANA DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4928
Practice Address - Country:US
Practice Address - Phone:870-213-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty