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LAUREL LIGHT LLC.
NPI 1609577311
Clinic/Center - Rehabilitation, Substance Use Disorder in Mount Laurel, NJ

Active since March 10, 2023CLIA 31D2271933 · Waiver
801 BIRCHFIELD DR, MOUNT LAUREL, NJ 08054(703) 955-0587 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurel Light Llc. NPPES

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

LAUREL LIGHT LLC. (NPI 1609577311), doing business as Laurel Healing Center, is a healthcare organization registered as a rehabilitation, substance use disorder in Mount Laurel, New Jersey and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Michael Rodgers, Cmo, as its authorized official.

NPPES Registry Identity

NPI1609577311
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameLAUREL LIGHT LLC.
Location Address801 BIRCHFIELD DRMount Laurel, NJ 08054-4015
Mailing Address801 Birchfield DrMount Laurel, NJ 08054-4015 · (703) 955-0587
Phone(703) 955-0587
Organization SubpartYes
Authorized OfficialMichael RodgersCmo · (267) 687-9008
Enumeration DateMarch 10, 2023
NPPES CertifiedMarch 10, 2023
✔ NPI 1609577311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
801 BIRCHFIELD DR, Mount Laurel, NJ 08054
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Other Names 1

Doing Business AsLaurel Healing Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2271933

Laurel Light LLC Dba Laurel Healing Center · Mount Laurel, NJ
Active · expires Nov 9, 2026
CLIA Number31D2271933
Laboratory TypeOutpt Sud Treatment Facil
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorMichelle M. Rodgers
Laboratory Phone(703) 955-0587
Laboratory LocationLaurel Light LLC Dba Laurel Healing Center800 Birchfield Drive Suite 801, Mount Laurel, NJ 08054
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

TRACY DUCKETT
Behavior Technician
801 BIRCHFIELD DR
MOUNT LAUREL, NJ 08054
Burlington County (484) 681-2170
INAYAH ABDUL-MATIN
Behavior Technician
801 BIRCHFIELD DR
MOUNT LAUREL, NJ 08054
Burlington County (484) 681-2170
IRENE GRANDEZA M.A. BCBA
Behavior Analyst
801 BIRCHFIELD DR
MOUNT LAUREL, NJ 08054
Burlington County (484) 681-2170
ELIZABETH STUESSY
Behavior Analyst
801 BIRCHFIELD DR
MOUNT LAUREL, NJ 08054
Burlington County (215) 882-2810
MARJORIE ZALEGOWSKI
Behavior Technician
801 BIRCHFIELD DR
MOUNT LAUREL, NJ 08054
Burlington County (215) 882-2810
SUSAN HARRIS
Behavior Technician
801 BIRCHFIELD DR
MOUNT LAUREL, NJ 08054
Burlington County (484) 681-2170
LAREECE FORD
Behavior Technician
801 BIRCHFIELD DR
MOUNT LAUREL, NJ 08054
Burlington County (215) 882-2810
KATIE WALLS
Behavior Technician
801 BIRCHFIELD DR
MOUNT LAUREL, NJ 08054
Burlington County (484) 681-2170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Light LLC.'s NPI number?

The NPI number for Laurel Light LLC. is 1609577311. It was assigned to this organization in the NPPES registry on March 10, 2023. The provider is doing business as Laurel Healing Center.

Where is Laurel Light LLC. located?

Laurel Light LLC. is located at 801 Birchfield Dr, Mount Laurel, NJ 08054. The listed phone number is (703) 955-0587.

What is Laurel Light LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Laurel Light LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2271933) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laurel Light LLC. was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.