MEDICARE: LIGHT COUNSELING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist
3	103TF0200X	Forensic Psychologist
4	1041C0700X	Clinical Social Worker
5	106H00000X	Marriage & Family Therapist
6	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154422764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIGHT COUNSELING, INC.

Provider Business Mailing Address
First Line	:	1075 LIGHT BLVD
Second Line	:
City	:	FOREST
State	:	VA
Zip	:	24551-5094
Country	:	US
Telephone Number	:	434-384-1594
Fax Number	:	434-384-3228

Provider Business Practice Location Address
First Line	:	1075 LIGHT BLVD
Second Line	:
City	:	FOREST
State	:	VA
Zip	:	24551-5094
Country	:	US
Telephone Number	:	434-384-1594
Fax Number	:	434-384-3228

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	STEPHANIE TAYLOR CASH
Credential	:
Telephone Number	:	434-384-1594

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	03/13/2025

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Directions to “LIGHT COUNSELING, INC. ” Practice Location

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