Healthcare Provider Details

I. General information

NPI: 1982529566
Provider Name (Legal Business Name): LIGHTWORK COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TRADECENTER STE 5938
WOBURN MA
01801-7452
US

IV. Provider business mailing address

300 TRADECENTER STE 2640
WOBURN MA
01801-7409
US

V. Phone/Fax

Practice location:
  • Phone: 978-302-4145
  • Fax:
Mailing address:
  • Phone: 978-302-4145
  • Fax:

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: JACLYN LIGHTNER
Title or Position: OWNER
Credential: LICSW
Phone: 978-302-4145