| Guiding Lights, Llc. | |
|
6610 Commons Dr Ste 300 Prince George VA 23875-2528 | |
| (804) 943-8859 | |
| Not Available |
| Full Name | Guiding Lights, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6610 Commons Dr Ste 300, Prince George, Virginia |
| Authorized Official Name and Position | Kwame Donovan (CEO) |
| Authorized Official Contact | 8049438859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Lights, Llc. 6610 Commons Dr Ste 300 Prince George VA 23875-2528 Ph: (804) 943-8859 | Guiding Lights, Llc. 6610 Commons Dr Ste 300 Prince George VA 23875-2528 Ph: (804) 943-8859 |
| NPI Number | 1043448343 |
|---|---|
| Provider Enumeration Date | 06/24/2009 |
| Last Update Date | 06/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043448343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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