Provider Demographics
NPI:1114080447
Name:LIGHT THE WAY COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:LIGHT THE WAY COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PICHT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:973-636-9600
Mailing Address - Street 1:662 GOFFLE RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-3420
Mailing Address - Country:US
Mailing Address - Phone:973-636-9600
Mailing Address - Fax:973-636-9608
Practice Address - Street 1:662 GOFFLE RD
Practice Address - Street 2:SUITE #1
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-3420
Practice Address - Country:US
Practice Address - Phone:973-636-9600
Practice Address - Fax:973-636-9608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00142100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty