# LIVING LIGHT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639592215
- **Authorized official:** AYANA BURNETT (SOLE MEMBER)
- **Authorized official phone:** (410) 942-1235

## Contact information

- **Practice address:** 120 MOHEGAN DR, UNIT C, HAVRE DE GRACE, MD 21078-2698
- **Practice address phone:** (410) 942-1235
- **Mailing address:** 120 MOHEGAN DR, UNIT C, HAVRE DE GRACE, MD 21078-2698
- **Mailing address phone:** (410) 942-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 15444 | MD | Yes |

## Other

- **Enumeration date:** 02/02/2014
- **Last updated:** 02/02/2014