Provider Type Icon

THE LIGHT CENTER RECOVERY LLC NPI 1124652649


NPI Information

NPI: 1124652649
Provider Name: THE LIGHT CENTER RECOVERY LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
718 GRAHAM RD
CUYAHOGA FALLS, OH
ZIP 44221
Phone: (330) 615-7355
Get Directions

THE LIGHT CENTER RECOVERY LLC is a community behavioral health in Cuyahoga Falls, OH. 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. THE LIGHT CENTER RECOVERY LLC NPI is 1124652649. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

718 GRAHAM RD
CUYAHOGA FALLS, OH
ZIP 44221-041
Phone: (330) 615-7355
Fax: (734) 758-0784

The provider's authorized official is Ahkee Ferguson .
The authorized official title is Ceo and has the following contact phone number (330) 615-7355.

The enumeration date for this NPI number is 2/24/2020 and was last updated on 2/13/2023.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)No
4171M00000XCase Manager/Care CoordinatorNo
5175T00000XPeer SpecialistNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
8251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102538OTHERCAQH
20394224MEDICAIDOHIO

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

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.