Healthcare Provider Details

I. General information

NPI: 1467376830
Provider Name (Legal Business Name): KIND LIGHT THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 GARRETT LN
FLORENCE AL
35634-4272
US

IV. Provider business mailing address

977 GARRETT LN
FLORENCE AL
35634-4272
US

V. Phone/Fax

Practice location:
  • Phone: 678-201-0554
  • Fax:
Mailing address:
  • Phone: 678-201-0554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KYLIE O'DRISCOLL
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 678-925-6151