| Guiding Light Therapy Aba | |
|
11986 Guelph Cir Hampton GA 30228-5380 | |
| (678) 629-2305 | |
| Not Available |
| Full Name | Guiding Light Therapy Aba |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11986 Guelph Cir, Hampton, Georgia |
| Authorized Official Name and Position | Mary Bangura (OWNER) |
| Authorized Official Contact | 6786292305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Therapy Aba 11986 Guelph Cir Hampton GA 30228-5380 Ph: (678) 629-2305 | Guiding Light Therapy Aba 11986 Guelph Cir Hampton GA 30228-5380 Ph: (678) 629-2305 |
| NPI Number | 1205669942 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205669942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| 252Y00000X | Early Intervention Provider Agency | () | Secondary |
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