MEDICARE: HOPE & LIGHT CONSULTING, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1831844067
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE & LIGHT CONSULTING, LLC

Provider Business Mailing Address
First Line	:	4991 LONGVIEW WALK
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30035-4189
Country	:	US
Telephone Number	:	470-588-7139
Fax Number	:

Provider Business Practice Location Address
First Line	:	4991 LONGVIEW WALK
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30035-4189
Country	:	US
Telephone Number	:	470-588-7139
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MENTAL HEALTH THERAPIST
Name	:	MS. TRISHA BROWN
Credential	:	MA, LPC
Telephone Number	:	470-588-7139

Provider Enumeration Date	:	02/16/2022
Last Update Date	:	02/16/2022

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