OrganizationActive
Lighted Path PLLC
NPI 1134446958 · Community/Behavioral Health Agency · Conway, AR
Lighted Path PLLC is a Community/Behavioral Health Agency organization in Conway, AR (NPI 1134446958).
Provider details
- NPI number
- 1134446958
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jeremy Dicicco, President(804) 592-1205
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1124 Oak St
Suite 250
Conway, AR 72032-4318
Phone: (804) 592-1205
Fax: (866) 388-8128
Street-level locationGet directions
Mailing address
Po Box 224
Conway, AR 72033-0224
Registry dates
- Enumerated
- 2010-05-04
- Last updated
- 2010-07-09
Frequently asked questions
- What is Lighted Path PLLC's NPI number?
- Lighted Path PLLC's National Provider Identifier (NPI) is 1134446958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighted Path PLLC?
- Lighted Path PLLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Lighted Path PLLC located?
- Lighted Path PLLC's practice location on file with NPPES is 1124 Oak St, Conway, AR 72032-4318.
- What is Lighted Path PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lighted Path PLLC is (804) 592-1205.
- Who is the authorized official for Lighted Path PLLC?
- The authorized official listed on Lighted Path PLLC's NPPES record is Jeremy Dicicco, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighted Path PLLC's NPI active?
- Yes — Lighted Path PLLC's NPI (1134446958) is active in the NPPES registry as of the last update on 2010-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.