Provider Demographics
NPI:1104219708
Name:ENLIGHTENED PATH COUNSELING, LLC
Entity Type:Organization
Organization Name:ENLIGHTENED PATH COUNSELING, LLC
Other - Org Name:KARYN MEHRINGER, LCPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FORENSIC PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-323-6040
Mailing Address - Street 1:6688 JOLIET RD
Mailing Address - Street 2:#115
Mailing Address - City:COUNTRYSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-4575
Mailing Address - Country:US
Mailing Address - Phone:708-323-6040
Mailing Address - Fax:708-354-3626
Practice Address - Street 1:47 6TH AVE
Practice Address - Street 2:SUITE H-6
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2499
Practice Address - Country:US
Practice Address - Phone:708-323-6040
Practice Address - Fax:708-354-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007490251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health