| NPI | 1871000117 |
|---|---|
| Doing Business As | LIGHTWAY PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRANDI TANNER Owner 404-491-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |