| Guiding Light Family Counseling | |
|
18135 W Catawba Ave Suite 6 Cornelius NC 28031-5641 | |
| (704) 880-4003 | |
| (704) 880-4003 |
| Full Name | Guiding Light Family Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 18135 W Catawba Ave, Cornelius, North Carolina |
| Authorized Official Name and Position | Heather Tavella (DIRECTOR/OWNER/COUNSELOR) |
| Authorized Official Contact | 7048804003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Family Counseling 18135 W Catawba Ave Suite 6 Cornelius NC 28031-5641 Ph: (704) 880-4003 | Guiding Light Family Counseling 18135 W Catawba Ave Suite 6 Cornelius NC 28031-5641 Ph: (704) 880-4003 |
| NPI Number | 1134409618 |
|---|---|
| Provider Enumeration Date | 08/28/2011 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134409618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1682 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 7986 (North Carolina) | Primary |
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