Light of Grace Family Services LLC

NPI #1457185480 in Ooltewah, Tennessee

Provider Information

NPI Number: 1457185480
Entity Type: Organization
Organization Name: Light of Grace Family Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 30, 2024
Last Updated: Aug 30, 2024

Practice Location

Address: 8354 TROUT LILY DR
City: Ooltewah
State: Tennessee
ZIP Code: 37363-6026
Phone: (423) 645-5690

Authorized Official

Name: CANDICE MILLIGAN, LPC/MHSP, NCC
Title: OWNER
Phone: (423) 645-5690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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