Healthcare Provider Details

I. General information

NPI: 1649083072
Provider Name (Legal Business Name): FIRST LIGHT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 WILSON DR
SPARTA NJ
07871-3400
US

IV. Provider business mailing address

50 WILSON DR
SPARTA NJ
07871-3400
US

V. Phone/Fax

Practice location:
  • Phone: 908-246-0553
  • Fax:
Mailing address:
  • Phone: 908-246-0553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: EDWARD BELVINS
Title or Position: OWNER
Credential: LMFT
Phone: 908-246-0553