Provider Demographics
NPI:1548465313
Name:LOVE-LIGHT CHRISTIAN COUNSELING, NFP
Entity type:Organization
Organization Name:LOVE-LIGHT CHRISTIAN COUNSELING, NFP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:V
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:847-731-3192
Mailing Address - Street 1:2018 DAWN LN
Mailing Address - Street 2:
Mailing Address - City:ZION
Mailing Address - State:IL
Mailing Address - Zip Code:60099-5108
Mailing Address - Country:US
Mailing Address - Phone:847-731-3192
Mailing Address - Fax:
Practice Address - Street 1:2018 DAWN LN
Practice Address - Street 2:
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-5108
Practice Address - Country:US
Practice Address - Phone:847-731-3192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X, 106H00000X, 106H00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherOUTPATIENT MENTAL HEALTH