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Organization
LIGHT AT THE END PLLC
Active
Organization
LIGHT AT THE END PLLC
Active
Other names
Light at the End Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVAUN J JOHNSON DNP (CEO)
(623) 265-6220
Entity
Organization
Contact information
Practice address
21168 E OCOTILLO RD # 1045, QUEEN CREEK, AZ 85142-8175
(623) 265-6220
(866) 491-7389
Mailing address
21168 E OCOTILLO RD # 1045, QUEEN CREEK, AZ 85142-8175
(623) 265-6220
(866) 491-7389
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
01/02/2026
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