Organization Active NPI

Guiding Lights, LLC.

  • Community/Behavioral Health Agency
  • Prince George, VA
National Provider Identifier
1043448343
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GUIDING LIGHTS, LLC.
Practice address
6610 Commons Dr Ste 300
Prince George, VA 23875-2528
Phone
(804) 943-8859
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kwame Donovan
Title
Ceo
Phone
(804) 943-8859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6610 Commons Dr Ste 300
Prince George, VA 23875-2528

Mailing address

6610 Commons Dr Ste 300
Prince George, VA 23875-2528
Phone (804) 943-8859

National Provider Directory

National Provider Directory

Locations

6610 Commons Dr
Ste 300
Prince George, VA 23875
Phone (804) 943-8859

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1043448343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 COMMONS DR STE 300",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752528",
            "telephone_number": "804-943-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 COMMONS DR STE 300",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752528",
            "telephone_number": "804-943-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHTS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-943-8859"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.