LIGHT AT THE END PLLC NPI 1114690401

NPI Information

  • NPI: 1114690401
  • Provider Name: LIGHT AT THE END PLLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: LIGHT AT THE END BEHAVIORAL HEALTH SERVICES
  • Address: 21168 E OCOTILLO RD # 1045
    QUEEN CREEK, AZ
    ZIP 85142
  • Phone: (623) 265-6220

Map and Directions

Get Directions

NPI Details

LIGHT AT THE END PLLC is a mental health (including community mental health center) clinic center in Queen Creek, AZ. LIGHT AT THE END PLLC NPI is 1114690401. The provider is registered as an organization entity type.
The provider Is Doing Business As Light At The End Behavioral Health Services.

The provider's business location address is:

21168 E OCOTILLO RD # 1045
QUEEN CREEK, AZ
ZIP 85142-175
Phone: (623) 265-6220
Fax: (866) 491-7389

The provider's authorized official is Shavaun J Johnson .
The authorized official title is Ceo and has the following contact phone number (480) 825-2152.

The enumeration date for this NPI number is 8/1/2021 and was last updated on 8/13/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.