Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Enlightened Path PLLC

Organization Adult Mental Health Clinic/Center · NPI 1487537189

Enlightened Path PLLC is an Adult Mental Health Clinic/Center in Provo, Utah. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1881 N 1120 W
Provo, UT 84604-1180
Phone: (385) 233-0672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1487537189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberlie Johnson — Owner · (385) 233-0672
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address1463 S 3750 E, Spanish Fork, UT 84660-6387

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