| Guiding Light Support Services LLC | |
|
2113 Firethorn Rd Middle River MD 21220-4806 | |
| (443) 571-3827 | |
| Not Available |
| Full Name | Guiding Light Support Services LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2113 Firethorn Rd, Middle River, Maryland |
| Authorized Official Name and Position | Yvonne Jackson (OWNER) |
| Authorized Official Contact | 4435713827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Support Services LLC 2113 Firethorn Rd Middle River MD 21220-4806 | Guiding Light Support Services LLC 2113 Firethorn Rd Middle River MD 21220-4806 Ph: (443) 571-3827 |
| NPI Number | 1679426142 |
|---|---|
| Provider Enumeration Date | 02/16/2026 |
| Last Update Date | 02/16/2026 |
| Certification Date | 02/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679426142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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