Active NPI
Living in the Light Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avondale Estates, GA
National Provider Identifier
1447819867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2024
- 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
- Candice Scurry, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Katy, TX
- NPI 1184991614
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.