EXALT THE LIGHT LLC NPI 1124884531

NPI Information

NPI: 1124884531
Provider Name: EXALT THE LIGHT, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5204 WESTCHESTER LANE, NE
ATLANTA, GA
ZIP 30345
Phone: (470) 236-9050
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EXALT THE LIGHT, LLC is a mental health (including community mental health center) clinic center in Atlanta, GA. EXALT THE LIGHT, LLC NPI is 1124884531. The provider is registered as an organization entity type.

The provider's business location address is:

5204 WESTCHESTER LANE, NE
ATLANTA, GA
ZIP 30345
Phone: (470) 236-9050

The provider's authorized official is Imani Sade' Hines .
The authorized official title is Clinician/ceo and has the following contact phone number (470) 236-1746.

The enumeration date for this NPI number is 2/23/2024 and was last updated on 2/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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