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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIGHT SOURCE GROUP LLC

Active Organization

LIGHT SOURCE GROUP LLC is a Mental Health Clinic organization located in JACKSONVILLE, Arkansas. NPI 1922832906 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · JACKSONVILLE, AR

Registration Details

NPI Number
1922832906
Provider Type
Organization
NPI Issued
Aug 30, 2024 (1.9906901732037 yrs)
Last Updated
Nov 18, 2024

Practice Information

Address
625 N 1ST ST STE 200
JACKSONVILLE, AR, 720764117
Browse AR providers · Browse ZIP 72076
Phone
5019850292
Fax
5019852070
Primary Specialty
Mental Health Clinic
261QM0801X

Other Mental Health Clinic Organizations in JACKSONVILLE, AR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.