Light Works Wellness Centre
Organization Active NPI Health Service Clinic/Center · Bunnell, FL
NPI 1174789150 · NPPES record last updated Jul 30, 2008
Key facts
- NPI
- 1174789150
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- MM12805 (FL)
- Legal business name
- LIGHT WORKS WELLNESS CENTRE
- Practice address
- 4601 E Highway 100
Suite B-8
Bunnell, FL 32110-9017 - Phone
- (386) 437-5992
- NPI assigned
- Jul 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Carolyn J Randolph, L.M.T.
- Title
- Principal
- Phone
- (386) 931-2212
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | MM12805 | FL | Yes |
Addresses
Primary practice location
4601 E Highway 100
Suite B-8
Bunnell, FL 32110-9017
Mailing address
4601 E Highway 100
Suite B-8
Bunnell, FL 32110-9017
Phone (386) 437-5992
Other providers in Bunnell, FL
- Lisa Jane Jimenez
- JSC Pedorthics Inc.
- Betty Kachnycz
- Kazaam Services LLC
- Lancaster Home Care Services LLC
- Amy Lynn Long
- Kathryn A Lopez
- Dawn Lord
- Jessie Dolores Love-Belle
- Melissa Lowe
All providers in Bunnell, FL · Health Service Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.