| Wildlight Counseling Services, Llc | |
|
340 Eisenhower Dr Bldg 300 Savannah GA 31406-1600 | |
| (912) 421-8668 | |
| Not Available |
| Full Name | Wildlight Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 340 Eisenhower Dr Bldg 300, Savannah, Georgia |
| Authorized Official Name and Position | Janel Meredith Falvey (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7177253943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildlight Counseling Services, Llc 185 Daydream Ave Apt 7307 Yulee FL 32097-5483 Ph: (912) 421-8668 | Wildlight Counseling Services, Llc 340 Eisenhower Dr Bldg 300 Savannah GA 31406-1600 Ph: (912) 421-8668 |
| NPI Number | 1962012153 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 02/19/2022 |
| Certification Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962012153 | NPI | - | NPPES |
| LPC010078 | Other | GA | STATE LICENSE NUMBER FOR GEORGIA |
| MH20243 | Other | FL | LMHC |
| PC007377 | Other | PA | PENNSYLVANIA COUNSELING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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