=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770145757
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEIGHTON'S LIGHT PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/01/2019
-----------------------------------------------------
Last Update Date | 10/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11000 CEDAR KNOLL DR STE A-2
-----------------------------------------------------
City | GRASS LAKE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49240-9811
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-748-3914
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 13
-----------------------------------------------------
City | GRASS LAKE
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49240-0013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 517-748-3914
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LMSW/OWNER
-----------------------------------------------------
Name | SHERI JEAN LEIGHTON
-----------------------------------------------------
Credential | LMSW
-----------------------------------------------------
Telephone | 517-748-3914
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------