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LIGHT COUNSELING INC. NPI 1154422764


NPI Information

NPI: 1154422764
Provider Name: LIGHT COUNSELING, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
20564 TIMBERLAKE RD STE B
LYNCHBURG, VA
ZIP 24502
Phone: (434) 384-1594
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LIGHT COUNSELING, INC. is a professional counselor in Lynchburg, VA. LIGHT COUNSELING, INC. NPI is 1154422764. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20564 TIMBERLAKE RD STE B
LYNCHBURG, VA
ZIP 24502-246
Phone: (434) 384-1594
Fax: (434) 384-3228

The provider's authorized official is Joshua Hartle .
The authorized official title is Business Director and has the following contact phone number (434) 219-5192.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 1/5/2023.


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
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3103TF0200XPsychologistForensicNo
41041C0700XSocial WorkerClinicalNo
5106H00000XMarriage & Family TherapistNo
6101YP2500XCounselorProfessionalYes

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
11154422764MEDICAIDVIRGINIA

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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