Central Light Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2011029087 Issued in MO

Legal business name

CENTRAL LIGHT COUNSELING, LLC

Practice address

3115 S Grand Blvd
450
Saint Louis, MO 63118-1034

Phone

(314) 301-9297

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Remargo Yancie, L.L.C.

Title

Counselor

Phone

(314) 301-9297

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1548678956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 S GRAND BLVD",
            "address_2": "450",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S GRAND BLVD",
            "address_2": "450",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181034",
            "telephone_number": "314-301-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL LIGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "YANCIE",
        "authorized_official_first_name": "REMARGO",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "314-301-9297",
        "authorized_official_credential": "L.L.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2011029087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.