Provider Demographics
NPI:1871244434
Name:IN OUR LIGHT LLC
Entity Type:Organization
Organization Name:IN OUR LIGHT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:MCKINNEY
Authorized Official - Last Name:RATE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-MHSP
Authorized Official - Phone:615-236-6365
Mailing Address - Street 1:1650 MURFREESBORO RD STE 219
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5113
Mailing Address - Country:US
Mailing Address - Phone:615-236-6365
Mailing Address - Fax:
Practice Address - Street 1:1650 MURFREESBORO RD STE 219
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5113
Practice Address - Country:US
Practice Address - Phone:615-236-6365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)