| Guiding Light Family Services, Llc | |
|
425 S Main St Unit I&j Emporia VA 23847-2300 | |
| (757) 724-3758 | |
| Not Available |
| Full Name | Guiding Light Family Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 425 S Main St Unit I&j, Emporia, Virginia |
| Authorized Official Name and Position | Marquis Person (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7577243758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Family Services, Llc 425 S Main St Unit I&j Emporia VA 23847-2300 Ph: (757) 724-3758 | Guiding Light Family Services, Llc 425 S Main St Unit I&j Emporia VA 23847-2300 Ph: (757) 724-3758 |
| NPI Number | 1215405832 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 11/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215405832 | NPI | - | NPPES |
| 261QM0801X | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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