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Organization

LIGHT OF LIFE RECOVERY & WELLNESS SERVICES LLC

Active
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Organization

LIGHT OF LIFE RECOVERY & WELLNESS SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATONYA COTTON LCSW-C (CLINICAL DIRECTOR)
(443) 480-3157
Entity
Organization

Contact information

Practice address
818 HIGH ST STE 2, CHESTERTOWN, MD 21620-1152
(443) 480-3157
Mailing address
818 HIGH ST STE 2, CHESTERTOWN, MD 21620-1152
(443) 480-3157

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
163W00000X
Registered Nurse
163WC0400X
Case Management Registered Nurse
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
11/17/2023
Last updated
07/29/2026
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