| Organization Name: | GUIDING LIGHT FAMILY COUNSELING |
| NPI Number: | 1134409618 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER TAVELLA (DIRECTOR/OWNER/COUNSELOR) |
| Mailing Address: | 18135 W Catawba Ave Suite 6 Cornelius |
| State: | NC US |
| Postal Code: | 280315641 |
| Phone Number: | 7048804003 |
| Fax Number: | 7048804003 |
| NPI Enumeration Date: | 08/28/2011 |
| NPI Last Update Date: | 02/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1682 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |