The Light Center Recovery Llc

LBN: The Light Center Recovery Llc
The Light Center Recovery Llc is an health care organization with primary practice located at 718 Graham Rd , Cuyahoga Falls OH 44221-1041. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. The Light Center Recovery Llc can be contacted via phone (330) 615-7355, or through Ferguson, Ahkee via phone (330) 615-7355.

Contact Information

Primary practice address
718 Graham Rd Cuyahoga Falls OH 44221-1041
Phone: (330) 615-7355
Fax: (734) 758-0784
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Ahkee MS, LICDC
Phone: (330) 615-7355

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1124652649
LBN Legal business name The Light Center Recovery Llc
DBA Doing business as
Authorized official Ferguson, Ahkee MS, LICDC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2020
Last updated Feb 13th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124652649 NPPES
Other 02538 CAQH
MEDICAID 0394224 CAQH

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