Provider Demographics
NPI:1225925373
Name:PATH OF LIGHT COUNSELING AND REHABILITATION CORP
Entity type:Organization
Organization Name:PATH OF LIGHT COUNSELING AND REHABILITATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DR NORMAN
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:SR
Authorized Official - Credentials:LMFT
Authorized Official - Phone:561-537-1986
Mailing Address - Street 1:23841 PIEDRAS RD
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-7195
Mailing Address - Country:US
Mailing Address - Phone:561-537-1986
Mailing Address - Fax:407-674-2253
Practice Address - Street 1:5101 E LA PALMA AVE STE B202
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2042
Practice Address - Country:US
Practice Address - Phone:561-537-1986
Practice Address - Fax:407-674-2253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty