Guiding Light Family/Youth Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GUIDING LIGHT FAMILY/YOUTH SERVICES

Doing business as

Small Wonders Fun & Learning LLC.

Practice address

7 Quiet Sunset CT
Essex, MD 21221-6875

Phone

(443) 622-9437

NPI assigned

Sep 3, 2024

Organization subpart

Yes

Parent organization

HEART AND SOUL CATERING SERVICES LLC.As reported in NPPES

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

Authorized official

Name

Revea Jones

Title

Administrator

Phone

(443) 622-9437

Specialties & licenses 1

Addresses

Other names 1

• Small Wonders Fun & Learning LLC. Doing business as

Part of

Guiding Light Familyyouth Services

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1538994223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 QUIET SUNSET CT",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216875",
            "telephone_number": "443-622-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 QUIET SUNSET CT",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216875",
            "telephone_number": "443-622-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDING LIGHT FAMILY/YOUTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART AND SOUL CATERING SERVICES LLC.",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REVEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-622-9437"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Wonders Fun & Learning LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glass Health Programs, Inc. (MedMark Treatment Centers - Essex)
• Glass Health Programs, Inc. (Medmark Treatment Centers Essex Intensive Outpatient Program)
• Good Health Residential Services Inc.
• Graceful Phoenix Recovery Housing LLC
• Yanai Daxia Green, DC, MS
• Roxann L Gunther
• Eyerusalem Hagos
• Kamal Alexander Hamod, M.D.
• Lakesa Harcum
• Healwell Tech LLC

• Community/Behavioral Health Agency in Essex, MD
• Providers in Essex, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.