Healthcare Provider Details

I. General information

NPI: 1609596618
Provider Name (Legal Business Name): LIGHT THE WAY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S SHUMWAY AVE STE 1W
BATAVIA IL
60510-2499
US

IV. Provider business mailing address

30 S SHUMWAY AVE STE 1W
BATAVIA IL
60510-2499
US

V. Phone/Fax

Practice location:
  • Phone: 630-326-9951
  • Fax: 630-937-1153
Mailing address:
  • Phone: 630-326-9951
  • Fax: 630-937-1153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAITLIN REISEL
Title or Position: OWNER
Credential: MS
Phone: 630-415-7325