OrganizationActive
Illuminate My Path Recovery Homes, LLC
NPI 1700744661 · Prevention Professional · Everman, TX
Provider details
- NPI number
- 1700744661
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Lee, Program Director(817) 999-9945
Specialties & taxonomies
Other Service Providers
Practice location
517 Gristmill Ln
Everman, TX 76140-4709
Phone: (214) 429-4920
Approximate (ZIP-level) locationGet directions
Mailing address
517 Gristmill Ln
Everman, TX 76140-4709
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-01-12
- Certified
- 2026-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.