Light Group Services, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIGHT GROUP SERVICES, INC

Practice address

2625 Piedmont Rd NE
Suite 56 #440
Atlanta, GA 30324-3086

Phone

(678) 576-4924

Fax

(678) 666-1038

NPI assigned

Apr 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jose M Arencibia

Title

President

Phone

(678) 576-4924

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1982920195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 PIEDMONT RD NE",
            "address_2": "SUITE 56 #440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243086",
            "telephone_number": "678-576-4924",
            "fax_number": "678-666-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 PIEDMONT RD NE",
            "address_2": "SUITE 56 #440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243086",
            "telephone_number": "678-576-4924",
            "fax_number": "678-666-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT GROUP SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "ARENCIBIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-576-4924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestyle Dietitian LLC
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• Lifetest of Georgia, LLC
• Lifeworks Wellness,LLC
• Andretta Pearl Lige
• Melissa Light
• Sarah E Light, PT
• Lighthouse Holistic Wellness
• Lighthouse Pediatrics LLC
• Lighting the Way Intervention Services

• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.