The Light Within Therapy LLC
Marriage & Family Therapist in De Pere, WI. Organization (NPI-2).
NPI number1043046121
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1043046121
- Entity type
- Organization (NPI-2)
- Legal business name
- The Light Within Therapy LLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2024
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
3311 So. Packerland DriveSuite A#7
De Pere, WI 54115
Phone 920-696-8288
Mailing address
3311 So. Packerland DriveSuite A#7
De Pere, WI 54115
Phone 920-696-8288
Authorized official
Kristina Hunter
Owner And Lmft
9206968288
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Marriage & Family Therapist providers in De Pere · All 764 providers in De Pere
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