| The Light Community Action Group, Llc. | |
|
2506 Jefferson Ave Ste 111 Newport News VA 23607-4502 | |
| (757) 995-6036 | |
| (757) 527-2567 |
| Full Name | The Light Community Action Group, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2506 Jefferson Ave Ste 111, Newport News, Virginia |
| Authorized Official Name and Position | Idell Walker (OWNER) |
| Authorized Official Contact | 7577533153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Light Community Action Group, Llc. 1 Draper Cir Hampton VA 23666-5025 Ph: () - | The Light Community Action Group, Llc. 2506 Jefferson Ave Ste 111 Newport News VA 23607-4502 Ph: (757) 995-6036 |
| NPI Number | 1083509012 |
|---|---|
| Provider Enumeration Date | 06/10/2025 |
| Last Update Date | 06/10/2025 |
| Certification Date | 06/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083509012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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