| Light Within Wellness Llc | |
|
1609 Quazar Rd Tallahassee FL 32311-4110 | |
| (850) 270-7188 | |
| Not Available |
| Full Name | Light Within Wellness Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1609 Quazar Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Mary Lyn Norman (OWNER/ THERAPIST) |
| Authorized Official Contact | 8502707188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Within Wellness Llc 1609 Quazar Rd Tallahassee FL 32311-4110 Ph: () - | Light Within Wellness Llc 1609 Quazar Rd Tallahassee FL 32311-4110 Ph: (850) 270-7188 |
| NPI Number | 1114737434 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114737434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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