| Light And Life Therapy Llc | |
|
6350 Center Dr Ste 106 Norfolk VA 23502-4107 | |
| (757) 559-1690 | |
| (757) 767-7921 |
| Full Name | Light And Life Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6350 Center Dr Ste 106, Norfolk, Virginia |
| Authorized Official Name and Position | John Diamantis (OWNER) |
| Authorized Official Contact | 7575591690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Light And Life Therapy Llc 3049 Clarke Dr Virginia Beach VA 23456-7923 Ph: (757) 559-1690 | Light And Life Therapy Llc 6350 Center Dr Ste 106 Norfolk VA 23502-4107 Ph: (757) 559-1690 |
| NPI Number | 1578261855 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Medicare PECOS PAC ID | 4284157397 |
|---|---|
| Medicare Enrollment ID | O20250331000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578261855 | NPI | - | NPPES |
| 1760198022 | Medicaid | VA | |
| 1316466410 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Damaris Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942651161 PECOS PAC ID: 2860809886 Enrollment ID: I20210318001081 |
| Provider Name | John Diamantis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316466410 PECOS PAC ID: 9335662451 Enrollment ID: I20250331000831 |
| Provider Name | Elizabeth Palmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396496634 PECOS PAC ID: 1658894621 Enrollment ID: I20250331002151 |
| Provider Name | Kenrda Artis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710593447 PECOS PAC ID: 2163945932 Enrollment ID: I20250402001768 |
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