LIGHT AND LIFE LLC


Address: 1710 Douglas Dr N Ste 209d, Golden Valley, MN 55422-4374
Phone: 6123999996

LIGHT AND LIFE LLC (NPI# 1942824677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942824677
Entity Type Organization
Organization Name LIGHT AND LIFE LLC
Practice Address 1710 Douglas Dr N Ste 209d
Golden Valley
MN 55422-4374
Mailing Address 3700 Wooddale Ave S Unit 18
St Louis Park
MN 55416-5162
Practice Telephone 6123999996
Mailing Telephone 6123999996
Enumeration Date 2020-05-28
Last Update Date 2020-05-28
Authorized Official Name NIKHIL KAISTHA (OWNER, LPCC)
Authorized Official Telephone 6123999996
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 1710 DOUGLAS DR N STE 209D
City GOLDEN VALLEY
State MN
Zip Code 55422-4374

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1497249536 Luke Utecht Psychologist 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 2018-06-21
1821582115 Ajaa Oliver Registered Nurse 3606 Zenith Ave N, Robbinsdale, MN 55422 2018-06-19
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780028241 Katie Marie Marsh Counselor 1405 Lilac Dr N Ste 113f, Golden Valley, MN 55422-4528 2013-04-26
1326302670 Omolola Chantelle Osunkoya Counselor 1710 Douglas Dr N Ste 104, Golden Valley, MN 55422-4397 2012-07-02
1700491883 Kristy Cynthia Collier Counselor 8401 Wayzata Blvd Ste 150, Golden Valley, MN 55426-1377 2020-09-15
1679048227 Marguerite Ohrtman Counselor 5851 Duluth St Ste 306, Golden Valley, MN 55422-3957 2018-10-10
1023598547 Lauren Vieaux Counselor 701 Decatur Ave N Ste 109, Golden Valley, MN 55427-4363 2018-08-14
1982192258 Stacy Lynn Ellman Counselor 5851 Duluth St Ste 306, Golden Valley, MN 55422-3957 2018-04-23
1518466622 Zaynab Alwan Counselor 8401 Wayzata Blvd Ste 150, Golden Valley, MN 55426-1377 2018-02-04
1962925750 Ryan Michael Meade Counselor 8441 Wayzata Blvd Ste 160, Golden Valley, MN 55426-1367 2017-07-24
1811418775 Alyssa Vander Schaaf Counselor 8401 Wayzata Blvd Ste 150, Golden Valley, MN 55426-1377 2017-06-30
1275066458 Jessica Jenkins Counselor 8401 Wayzata Blvd, Suite 150, Golden Valley, MN 55426-1343 2017-04-05
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Competitor

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City GOLDEN VALLEY
Zip Code 55422

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Dataset Information

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.

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