Light of Grace Family Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIGHT OF GRACE FAMILY SERVICES LLC

Practice address

8354 Trout Lily Dr
Ooltewah, TN 37363-6026

Phone

(423) 645-5690

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candice Milligan, LPC/MHSP, NCCNPI 1003475526

Title

Owner

Phone

(423) 645-5690

Specialties & licenses 1

Addresses

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.

• Candice Renee Milligan, MS. NCC, LPC

  • Mental Health Counselor
  • Cleveland, TN
  • NPI 1003475526
  Authorized official Same address or phone

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1457185480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8354 TROUT LILY DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636026",
            "telephone_number": "423-645-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8354 TROUT LILY DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636026",
            "telephone_number": "423-645-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT OF GRACE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-645-5690",
        "authorized_official_credential": "LPC/MHSP, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Ann Lenz, DDS
• Christopher Michael Lewis, D.C.
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• Lifespan Family Care, LLC
• Lighthouse Kids Ooltewah, LLC
• Brittanya Limone
• Janice Smith Lipscomb, RN
• Living Well Solutions LLC
• Shirleen Marisa Lombard, M.S

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

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