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Organization
GIRLS LIGHT OUR WAY
Active
Organization
GIRLS LIGHT OUR WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN L HARRIS JEFFRIES PH.D (PRESIDENT & CEO)
(917) 770-6058
Entity
Organization
Contact information
Practice address
201 SW ADAMS ST, PEORIA, IL 61602-1407
(917) 770-6058
Mailing address
1325 W HOLLY HEDGES DR, PEORIA, IL 61614-4172
(917) 770-6058
(917) 770-6058
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
102X00000X
Poetry Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
02/12/2026
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