Organization Active NPI

Living in the Light Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Avondale Estates, GA
National Provider Identifier
1447819867
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIVING IN THE LIGHT WELLNESS
Practice address
88 N Avondale Rd # 352
Avondale Estates, GA 30002-1323
Phone
(470) 588-5570
Fax
(832) 218-4013
NPI assigned
Jun 10, 2019
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Candice Scurry, LPCNPI 1184991614
Title
Owner
Phone
(832) 641-1221

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

88 N Avondale Rd # 352
Avondale Estates, GA 30002-1323

Mailing address

24285 Katy Fwy Ste 300
Katy, TX 77494-1128
Phone (832) 641-1221

Other names 1

  • Candice Scurry Other name

National Provider Directory

National Provider Directory

Locations

88 N Avondale Rd
#352
Avondale Estates, GA 30002
Phone (470) 588-5570

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1447819867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24285 KATY FWY STE 300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941128",
            "telephone_number": "832-641-1221",
            "fax_number": "832-218-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 N AVONDALE RD # 352",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300021323",
            "telephone_number": "470-588-5570",
            "fax_number": "832-218-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING IN THE LIGHT WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "SCURRY",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-641-1221",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candice Scurry",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Candice Scurry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avondale Estates, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.