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NPI Code Detail

MEDICARE: EMERGING LIGHT COUNSELING GROUP LLC

MEDICARE: EMERGING LIGHT COUNSELING GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700731619
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERGING LIGHT COUNSELING GROUP LLC
Provider Business Mailing Address
First Line : 1747 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-1453
Country : US
Telephone Number : 614-342-0454
Fax Number :
Provider Business Practice Location Address
First Line : 7071 RETTON RD
Second Line :
City : REYNOLDSBURG
State : OH
Zip : 43068-3029
Country : US
Telephone Number : 614-342-0454
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WHITNEY BEATTY
Credential : LPC
Telephone Number : 614-342-0454
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “EMERGING LIGHT COUNSELING GROUP LLC ” Practice Location

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