Organization
LIGHT COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HARTLE (BUSINESS DIRECTOR)
(434) 219-5192
Entity
Organization
Contact information
Practice address
8130 OSWEGO RD STE 1, LIVERPOOL, NY 13090-1520
(434) 384-1594
(434) 384-3228
Mailing address
20564 TIMBERLAKE RD STE B, LYNCHBURG, VA 24502-7246
(434) 384-1594
(434) 384-3228
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/07/2022
Last updated
01/05/2023
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