Little Light Ministries

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

060848 Issued in NC

Legal business name

LITTLE LIGHT MINISTRIES

Practice address

3117 Old House Cir
Circle
Matthews, NC 28105-7284

Phone

(704) 839-3767

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Tuwan Marcus Ussery

Title

Director

Phone

(704) 839-3767

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164516076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480426",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695320",
            "telephone_number": "704-839-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 OLD HOUSE CIR",
            "address_2": "CIRCLE",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057284",
            "telephone_number": "704-839-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE LIGHT MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "TUWAN",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-839-3767"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "060848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603914",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Lineberger
• Christa Lee Lipko
• Lucy Liss, LCMHCA
• Thomas George Liszka, M.D.
• Literacy Imagined, LLC
• Little Scholars Behavioral Health LLC
• Beth Reed Little, P.T., C.H.T.
• Riley Littlejohn
• Ekaterini Elizabeth Livas, PHARMD
• Living Spring Home Health LLC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Matthews, NC
• Providers in Matthews, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.