MARVELOUS LIGHT CONSULTANTS NPI 1922145325

NPI Information

  • NPI: 1922145325
  • Provider Name: MARVELOUS LIGHT CONSULTANTS
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 4484 COVINGTON HWY
    SUITE 100A
    DECATUR, GA
    ZIP 30035
  • Phone: (404) 286-0054

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NPI Details

MARVELOUS LIGHT CONSULTANTS is a professional counselor in Decatur, GA. MARVELOUS LIGHT CONSULTANTS NPI is 1922145325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4484 COVINGTON HWY
SUITE 100A
DECATUR, GA
ZIP 30035-203
Phone: (404) 286-0054
Fax: (404) 286-0064

The provider's authorized official is Dewanda B. Jackson .
The authorized official title is Ceo and has the following contact phone number (404) 286-0054.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 6/19/2008.

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
1101YP2500XCounselorProfessionalLPC002390GEORGIAYes

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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