| Guiding Light Christian Services Llc | |
|
276 W. Cherry Lane Souderton PA 18964-1896 | |
| (215) 767-2338 | |
| (215) 767-2338 |
| Full Name | Guiding Light Christian Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 276 W. Cherry Lane, Souderton, Pennsylvania |
| Authorized Official Name and Position | Tamika Marie Johnson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2157672338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Christian Services Llc 112 W 6th St Lansdale PA 19446-2429 Ph: (215) 767-2338 | Guiding Light Christian Services Llc 276 W. Cherry Lane Souderton PA 18964-1896 Ph: (215) 767-2338 |
| NPI Number | 1164947792 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 08/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164947792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW019561 (Pennsylvania) | Primary |
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