THE LIGHT CENTER RECOVERY (NPI# 1124652649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124652649 |
Entity Type | Organization |
Organization Name | THE LIGHT CENTER RECOVERY |
Practice Address |
718 Graham Rd Cuyahoga Falls OH 44221-1041 |
Practice Telephone | 3306157355 |
Mailing Telephone | 3306157355 |
Enumeration Date | 2020-02-24 |
Last Update Date | 2020-02-24 |
Authorized Official Name | AHKEE FERGUSON (CEO) |
Authorized Official Telephone | 3306157355 |
Authorized Official Credential | MS, LICDC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205336856 | The Light Center Recovery | Community/Behavioral Health | 4880 Fishcreek Rd, Stow, OH 44224-1930 | 2018-02-20 |
1396243838 | The Light Center Recovery | Counselor | 2180 Romig Rd, Akron, OH 44320-3879 | 2018-01-30 |
Street Address |
718 GRAHAM RD |
City | CUYAHOGA FALLS |
State | OH |
Zip Code | 44221-1041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093812687 | Charles Joseph Coven | Family Medicine | 718 Graham Rd, Cuyahoga Falls, OH 44221-1041 | 2006-09-17 |
1891315362 | Christle Marie Stephens | Counselor | 718 Graham Rd, Cuyahoga Falls, OH 44221-1041 | 2020-04-24 |
1467635284 | Angela Marie Stetler | Physician Assistant | 718 Graham Rd, Cuyahoga Falls, OH 44221-1041 | 2007-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770075095 | Steffanie Rose Jewell-gens | Home Health Aide | 2042 High Street, Cuyahoga Falls, OH 44221 | 2018-06-01 |
1275058901 | Normita Harper | Licensed Practical Nurse | 3320 Elmwood Street, Cuyahoga Falls, OH 44221 | 2017-08-03 |
1780106344 | Brittany Spencer | Occupational Therapist | 1202 Buckingham Gate Blvd, Cuyahoga Falls, OH 44221 | 2017-07-14 |
1235675414 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 320 Broadway St. E, Summit, OH 44221 | 2017-01-12 |
1144778549 | Samantha Robertson | Student in an Organized Health Care Education/Training Program | 420 Washington Ave., Cuyahoga Falls, OH 44221 | 2016-09-14 |
1114394848 | Laura Miller | Social Worker | 650 Graham Rd Ste 191, Cuyahoga Falls, OH 44221 | 2015-08-28 |
1821415316 | Casey Kingsley | Occupational Therapy Assistant | 3131 Bailey Rd, Cuyahoga Falls, OH 44221 | 2014-03-24 |
1699199133 | Alicia Veauthier | Psychologist | 431 Stow. Ave., Cuyahoga Falls City Schools, Cuyahoga Falls, OH 44221 | 2014-02-04 |
1194003673 | Jodie Lee Fulton | Licensed Practical Nurse | 345 Marguerite Ave, Cuyahoga Falls, OH 44221 | 2011-08-01 |
1710283692 | Ashley L Berdine | Social Worker | 650 Graham Rd Ste 101, Cuyahoga Falls, OH 44221 | 2011-02-10 |
Find all providers in zip 44221 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780140533 | Shawnda Martin | Counselor | 275 Graham Rd Ste 2, Cuyahoga Falls, OH 44223-2259 | 2019-02-18 |
1376036913 | Margaret Mary Smith | Counselor | 737 Notre Dame Ave, Cuyahoga Falls, OH 44221-1957 | 2018-06-08 |
1124412846 | Anderson R Hawes | Counselor | 272 Ravenshollow Dr, Cuyahoga Falls, OH 44223-2895 | 2015-03-19 |
1871912543 | Erin Lynn Cusack | Counselor | 210 Portage Trail Ext W, Suite 101, Cuyahoga Falls, OH 44223-3609 | 2014-04-10 |
1881212884 | Tara Lynn Pangle | Counselor | 275 Graham Rd Ste 2, Cuyahoga Falls, OH 44223-2259 | 2020-07-07 |
1598382533 | Patricia Mitchell Mason | Counselor | 275 Graham Rd Ste 2, Cuyahoga Falls, OH 44223-2259 | 2020-06-25 |
1932721552 | Wellsprings Recovery Center, LLC. | Counselor | 275 Graham Rd Ste 2, Cuyahoga Falls, OH 44223-2259 | 2020-05-18 |
1891315362 | Christle Marie Stephens | Counselor | 718 Graham Rd, Cuyahoga Falls, OH 44221-1041 | 2020-04-24 |
1740747179 | Amelia Laurel Jones | Counselor | 275 Graham Rd Ste 2, Cuyahoga Falls, OH 44223-2259 | 2019-02-21 |
1447788161 | Alexa Dodson | Counselor | 405 Tallmadge Rd, Cuyahoga Falls, OH 44221-3362 | 2017-05-25 |
Find all providers in CUYAHOGA FALLS |
City | CUYAHOGA FALLS |
Zip Code | 44221 |
Please comment or provide details below to improve the information on THE LIGHT CENTER RECOVERY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.