THE GUARDIAN LIGHT NPI 1134383102

NPI Information

  • NPI: 1134383102
  • Provider Name: THE GUARDIAN LIGHT
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 2101 MOUNTAIN RUN DR
    GLEN ALLEN, VA
    ZIP 23060
  • Phone: (804) 475-3344

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NPI Details

THE GUARDIAN LIGHT is a community based residential treatment facility mental illness in Glen Allen, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE GUARDIAN LIGHT NPI is 1134383102. The provider is registered as an organization entity type.

The provider's business location address is:

2101 MOUNTAIN RUN DR
GLEN ALLEN, VA
ZIP 23060-261
Phone: (804) 475-3344

The provider's authorized official is Janice Marie Bailey .
The authorized official title is Administrator and has the following contact phone number (804) 475-3344.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 7/17/2008.

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessCLO-08-1104074VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CL0-08-1104074OTHERVIRGINIALICENSE FROM DEPARTMENT OF SOCIAL SERVICES
2CLO-081104074OTHERVIRGINIALICENSE FROM DEPARTMENT OF SOCIAL SERVICES

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

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