Guiding Light Youth and Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GUIDING LIGHT YOUTH AND FAMILY SERVICES

Practice address

1233 Morningside Meadow LN
Matthews, NC 28104-8553

Phone

(704) 684-0257

Fax

(704) 684-0258

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. George Towler III

Title

Director

Phone

(704) 684-0257

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Polkton Road Other name

Tax ID family

Guiding Light Youth and Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Guiding Light Youth & Family Services

  • Community/Behavioral Health Agency
  • Matthews, NC
  • NPI 1245422823
  NPD tax ID

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1467599316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 ANSONVILLE POLKTON RD",
            "city": "POLKTON",
            "state": "NC",
            "postal_code": "281359336",
            "telephone_number": "704-684-0257",
            "fax_number": "704-684-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MORNINGSIDE MEADOW LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281048553",
            "telephone_number": "704-684-0257",
            "fax_number": "704-684-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "TOWLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-684-0257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300505G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300505",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300505B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polkton Road",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Page Guerrette
• Michael Scott Guerriero, D.C.
• Debra Ann Guertin, LPC
• Christian Michael Guida
• Guiding Light Youth & Family Services
• Matthew Alan Gullickson, MD
• Krista Gunsalus Stephenson, LMFTA
• Chanda Nicole Guptill, NP
• Britney Gutierrez, PA
• Norena Bernadette Gutierrez, LCMHC

• Community/Behavioral Health Agency in Matthews, NC
• Providers in Matthews, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.