Living Light LLC
NPI #1639592215 in Havre De Grace, Maryland
Provider Information
- NPI Number
- 1639592215
- Entity Type
- Organization
- Organization Name
- Living Light LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 2, 2014
- Last Updated
- Feb 2, 2014
Practice Location
- Address
- 120 MOHEGAN DR
- Address 2
- UNIT C
- City
- Havre De Grace
- State
- Maryland
- ZIP Code
- 21078-2698
- Phone
- (410) 942-1235
Authorized Official
- Name
- AYANA BURNETT
- Title
- SOLE MEMBER
- Phone
- (410) 942-1235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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