Organization
LIGHT OF HOPE SERVICES LLC
Active
Organization
LIGHT OF HOPE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY KOCHIS-EDGERTON (CEO)
(689) 275-4964
Entity
Organization
Contact information
Practice address
154 TUSKAWILLA RD, WINTER SPRINGS, FL 32708-2825
(689) 275-4964
Mailing address
PO BOX 160553, ALTAMONTE SPRINGS, FL 32716-0553
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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