Provider Demographics
NPI:1760802318
Name:WARM LIGHT COUNSELING, L.L.C.
Entity Type:Organization
Organization Name:WARM LIGHT COUNSELING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:HARPOLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:636-556-0747
Mailing Address - Street 1:8701 WOODRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PEVELY
Mailing Address - State:MO
Mailing Address - Zip Code:63070-1939
Mailing Address - Country:US
Mailing Address - Phone:636-556-0474
Mailing Address - Fax:
Practice Address - Street 1:8701 WOODRIDGE DR
Practice Address - Street 2:
Practice Address - City:PEVELY
Practice Address - State:MO
Practice Address - Zip Code:63070-1939
Practice Address - Country:US
Practice Address - Phone:636-556-0474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008032689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty