Healthcare Provider Details

I. General information

NPI: 1437067550
Provider Name (Legal Business Name): HARBORLIGHT CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 RACETRACK RD
MCDONOUGH GA
30252-1022
US

IV. Provider business mailing address

390 RACETRACK RD
MCDONOUGH GA
30252-1022
US

V. Phone/Fax

Practice location:
  • Phone: 678-459-7374
  • Fax:
Mailing address:
  • Phone: 678-459-7374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHERRI CRAWFORD
Title or Position: CHIEF WORKFORCE OFFICER
Credential: LPN
Phone: 678-459-7374