Provider Demographics
NPI:1073092524
Name:MORNING LIGHT WELLNESS, PLLC
Entity Type:Organization
Organization Name:MORNING LIGHT WELLNESS, PLLC
Other - Org Name:MORNING LIGHT, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:UPRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:980-876-8468
Mailing Address - Street 1:5501 EXECUTIVE CENTER DR STE 232
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8892
Mailing Address - Country:US
Mailing Address - Phone:980-875-8468
Mailing Address - Fax:800-708-8044
Practice Address - Street 1:5501 EXECUTIVE CENTER DR STE 232
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8892
Practice Address - Country:US
Practice Address - Phone:980-875-8468
Practice Address - Fax:800-708-8044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-07
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13063101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty