WHITE LIGHT BEHAVIORAL HEATH COLUMBUS LLC NPI 1194446476

NPI Information

  • NPI: 1194446476
  • Provider Name: WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 36D2268112
  • Address: 4040 E BROAD ST
    COLUMBUS, OH
    ZIP 43213
  • Phone: (615) 775-1931

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NPI Details

WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC is a substance abuse rehabilitation facility in Columbus, OH. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC NPI is 1194446476. The provider is registered as an organization entity type.

The provider's business location address is:

4040 E BROAD ST
COLUMBUS, OH
ZIP 43213-156
Phone: (615) 775-1931

The provider's authorized official is Laurie Boudreau .
The authorized official title is Chief Of Staff and has the following contact phone number (617) 839-0925.

The CLIA number assigned to this NPI record is 36D2268112 - other - detox residential treatme with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2022 and was last updated on 8/30/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2323P00000XPsychiatric Residential Treatment FacilityNo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
4324500000XSubstance Abuse Rehabilitation FacilityYes

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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