GUIDING LIGHT THERAPEUTIC SERVICES (NPI# 1376056598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376056598 |
| Entity Type | Organization |
| Organization Name | GUIDING LIGHT THERAPEUTIC SERVICES |
| Other Organization Name | GUIDING LIGHT THERAPEUTIC SERVICES |
| Practice Address |
4404 Queensbury Rd Ste 105 Riverdale MD 20737-1074 |
| Practice Telephone | 3013794211 |
| Mailing Telephone | 3013794211 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | NODIA MARSHALL (OWNER) |
| Authorized Official Telephone | 3013794211 |
| Authorized Official Credential | LPC, LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LC6789 | MD | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PRC14502 | DC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 11556100 | 05 |
| Other Name | Type Code |
|---|---|
| Guiding Light Therapeutic Services | Doing Business As Name - Organization |
| Street Address |
4404 QUEENSBURY RD STE 105 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881094373 | Victoria Hamilton | Counselor | 4404 Queensbury Rd Ste 105, Riverdale, MD 20737-1068 | 2014-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345221 | Tairon Tucker | Counselor | 305 Brookview Dr, Riverdale, GA 30274-7205 | 2020-08-04 |
| 1144864513 | Moving Towards The Future, Inc | Counselor | 13913 S State St, Riverdale, IL 60827-2019 | 2019-10-29 |
| 1205304177 | Nzinga Lawrence | Counselor | 4404 Queensbury Rd # 215&210, Riverdale, MD 20737-1068 | 2018-11-08 |
| 1881169498 | Baiden & Associates LLC | Counselor | 4642 Woodberry St, Riverdale, MD 20737-1066 | 2018-10-10 |
| 1164905311 | Jennifer Hart | Counselor | 6221 67th Ct, Riverdale, MD 20737-1731 | 2018-09-13 |
| 1770092876 | Compassionate Care | Counselor | 8050 Taylor Rd Apt 2305, Riverdale, GA 30274-7101 | 2017-09-21 |
| 1922466093 | Gisell Mejia | Counselor | 6245 Johnson Rd, Riverdale, GA 30274-1806 | 2016-02-04 |
| 1790141877 | Tangela Morris | Counselor | 375 Ridge Trl, Riverdale, GA 30274-1953 | 2016-01-05 |
| 1669806840 | Darsha Darlene Clark | Counselor | 8026 Mustang Ln, Riverdale, GA 30274-6749 | 2013-08-24 |
| 1619263688 | William Dale Arrowsmith | Counselor | 5129 S 1500 W, Riverdale, UT 84405-3926 | 2011-06-28 |
| Find all providers in RIVERDALE | ||||
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| 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.