Organization
GUIDING LIGHT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PERRY LCSW (OWNER)
(757) 585-3366
Entity
Organization
Contact information
Practice address
8150 LEESBURG PIKE FL 14, VIENNA, VA 22182-7715
(703) 395-4445
Mailing address
4193 HAYMARKET LN, WILLIAMSBURG, VA 23188-1466
(757) 585-3366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
09/20/2022
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