WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC
NPI 1194446476
Substance Abuse Rehabilitation Facility in Columbus, OH

Q: What is White Light Behavioral Heath Columbus, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since September 06, 2022

4040 E BROAD ST, COLUMBUS, OH 43213(615) 775-1931 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2023, Sep 6, 2022 (2 updates tracked since 2022).

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About White Light Behavioral Heath Columbus, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC (NPI 1194446476) is a healthcare organization registered as a substance abuse rehabilitation facility in Columbus, Ohio and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Columbus and lists Laurie Boudreau, Chief Of Staff, as its authorized official.

NPPES Registry Identity

NPI1194446476

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameWHITE LIGHT BEHAVIORAL HEATH COLUMBUS, LLC

Location Address4040 E BROAD STColumbus, OH 43213-1156

Mailing Address4040 E Broad StColumbus, OH 43213-1156 · (614) 350-4010

Phone(615) 775-1931

Organization SubpartNo

Authorized OfficialLaurie BoudreauChief Of Staff · (617) 839-0925

Enumeration DateSeptember 6, 2022

Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration

NPPES CertifiedAugust 30, 2023

✔ NPI 1194446476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X

Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X

4040 E BROAD ST, Columbus, OH 43213

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Secondary Practice Location 1

Location 14300 E Broad St Ste 300Columbus, OH 43213-1243 · Phone (614) 350-4010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAWNTEL WRIGHT RN

Registered Nurse (Psychiatric/Mental Health)

4040 E BROAD ST
WHITEHALL, OH 43213

Franklin County (844) 297-3995

IDEAL HOME HEALTH INC.

Home Health

4040 E BROAD ST, SUITE 115
COLUMBUS, OH 43213

Franklin County (614) 237-9290

MADISON LAWSON

Counselor (Addiction (Substance Use Disorder))

4040 E BROAD ST
WHITEHALL, OH 43213

Franklin County (614) 405-9500

MARK TUVELLE

Nurse Practitioner (Psychiatric/Mental Health)