Healthcare Provider Details

I. General information

NPI: 1700717691
Provider Name (Legal Business Name): VICTORIOUS LIGHT WITHIN P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 NASHUA ST # 1000
MILFORD NH
03055-3717
US

IV. Provider business mailing address

52 NASHUA ST # 1000
MILFORD NH
03055-3717
US

V. Phone/Fax

Practice location:
  • Phone: 661-228-3448
  • Fax:
Mailing address:
  • Phone: 661-228-3448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: BREONNA NICOLE MCFARLAND
Title or Position: MANAGING MEMBER
Credential: LMFT, LCMHC, LPCC,
Phone: 661-228-3448