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LIGHT AND GLORY LLC NPI 1184264756


NPI Information

NPI: 1184264756
Provider Name: LIGHT AND GLORY LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1513 MALLORY CT
VIRGINIA BEACH, VA
ZIP 23464
Phone: (757) 215-6953
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LIGHT AND GLORY LLC is a community behavioral health in Virginia Beach, VA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIGHT AND GLORY LLC NPI is 1184264756. The provider is registered as an organization entity type.

The provider's business location address is:

1513 MALLORY CT
VIRGINIA BEACH, VA
ZIP 23464-419
Phone: (757) 215-6953
Fax: (757) 467-3604

The provider's authorized official is Geraldine Ricaforte .
The authorized official title is Program Director and has the following contact phone number (757) 215-6953.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 1/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareNo
2251S00000XCommunity/Behavioral HealthYes
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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