MEDICARE: GUIDING LIGHT SERVICES, 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	:	1982550299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING LIGHT SERVICES, LLC

Provider Business Mailing Address
First Line	:	421 FRONTIER BND
Second Line	:
City	:	SUMRALL
State	:	MS
Zip	:	39482-4638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	228 BROADWAY DR STE 7
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39401-5074
Country	:	US
Telephone Number	:	601-436-1032
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TOKIKIE R. WILLIAMSON
Credential	:	LCSW
Telephone Number	:	601-436-1032

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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