Laurel Light LLC.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LAUREL LIGHT LLC.

Practice address

801 Birchfield Dr
Mount Laurel, NJ 08054-4015

Phone

(703) 955-0587

NPI assigned

Mar 10, 2023

Organization subpart

Yes

Parent organization

LAUREL LIGHT LLC.As reported in NPPES

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

Authorized official

Name

Michael Rodgers

Title

Cmo

Phone

(267) 687-9008

Specialties & licenses 1

Addresses

Other names 1

• Laurel Healing Center Doing business as

Part of

Laurel Light LLC

Locations

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1609577311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BIRCHFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544015",
            "telephone_number": "703-955-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BIRCHFIELD DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544015",
            "telephone_number": "703-955-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL LIGHT LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAUREL LIGHT LLC.",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "267-687-9008"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce Marie Larkin, MD
• Alexandria Larson, BCBA
• Tova Larson, PA
• Laurel Brook Operator LLC
• Laurel Evaluations
• Michela Ann Lauricella, LCSW
• Tara Lee Lautenslager, M.D.
• Veronica Lawless, DO, MPH
• Linda Lazar, MSN RN CS
• LD Recovery Solutions, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.