| Light Works Wellness Center, Llc | |
|
700 Lombardy Ave Apt 7303 Newport News VA 23606-3364 | |
| (757) 570-4149 | |
| (844) 755-6393 |
| Full Name | Light Works Wellness Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 700 Lombardy Ave Apt 7303, Newport News, Virginia |
| Authorized Official Name and Position | Laura D Lemasters (OWNER) |
| Authorized Official Contact | 7575704149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Works Wellness Center, Llc 700 Lombardy Ave Apt 7303 Newport News VA 23606-3364 Ph: (757) 570-4149 | Light Works Wellness Center, Llc 700 Lombardy Ave Apt 7303 Newport News VA 23606-3364 Ph: (757) 570-4149 |
| NPI Number | 1649666959 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 4880046507 |
|---|---|
| Medicare Enrollment ID | O20240118002333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649666959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Laura Diggs Lemasters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689012429 PECOS PAC ID: 5799137410 Enrollment ID: I20240118002717 |
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