GUIDING LIGHT WELLNESS CENTER LLC NPI 1285763441

NPI Information

  • NPI: 1285763441
  • Provider Name: GUIDING LIGHT WELLNESS CENTER LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • CLIA Number: 10D2056587
  • Address: 3319 STATE ROAD 7
    SUITE 210
    WELLINGTON, FL
    ZIP 33449
  • Phone: (561) 422-3314

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NPI Details

GUIDING LIGHT WELLNESS CENTER LLC is a psychiatry psychiatry neurology in Wellington, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. GUIDING LIGHT WELLNESS CENTER LLC NPI is 1285763441. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3319 STATE ROAD 7
SUITE 210
WELLINGTON, FL
ZIP 33449-094
Phone: (561) 422-3314
Fax: (561) 422-3315

The provider's authorized official is Jodi Star .
The authorized official title is Medical Director and has the following contact phone number (561) 422-3314.

The CLIA number assigned to this NPI record is 10D2056587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 11/26/2010.

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
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME85603FLORIDANo
2208000000XPediatricsME85603FLORIDANo
32084P0800XPsychiatry & NeurologyPsychiatryME85603FLORIDAYes

What is NPI?

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This page was last updated on: 3/30/2025

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