Active NPI
Lighting the Way Intervention Services
- In Home Supportive Care Agency
- Atlanta, GA
National Provider Identifier
1154679926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LIGHTING THE WAY INTERVENTION SERVICES
- Practice address
- 5875 Westchase St
Atlanta, GA 30336-2912 - Phone
- (678) 596-3590
- Fax
- (404) 389-0885
- NPI assigned
- Aug 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tamika Tashell Clark, LPC
- Title
- Ceo/Owner
- Phone
- (678) 596-3590
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | GA | ||
| In Home Supportive Care Agency | 253Z00000X | GA | Primary |
Addresses
Primary practice location
5875 Westchase St
Atlanta, GA 30336-2912
Mailing address
4286 Memorial Dr
Suite B
Decatur, GA 30032-1221
Phone (678) 596-3590
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Decatur, GA
- NPI 1881950830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346025600000",
"number": "1154679926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4286 MEMORIAL DR",
"address_2": "SUITE B",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321221",
"telephone_number": "678-596-3590",
"fax_number": "404-389-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 WESTCHASE ST",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303362912",
"telephone_number": "678-596-3590",
"fax_number": "404-389-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHTING THE WAY INTERVENTION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "TAMIKA",
"authorized_official_middle_name": "TASHELL",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "678-596-3590",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.