Organization
LIGHT WITHIN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYN NORMAN LMFT, NCC (OWNER/ THERAPIST)
(850) 270-7188
Entity
Organization
Contact information
Practice address
1609 QUAZAR RD, TALLAHASSEE, FL 32311-4110
(850) 270-7188
Mailing address
1609 QUAZAR RD, TALLAHASSEE, FL 32311-4110
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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