EARTH&LIGHT, LLC
NPI 1962269696
Community/Behavioral Health in Williston, VT

Active since February 29, 2024
8031 WILLISTON RD STE 9, WILLISTON, VT 05495(802) 858-5290 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Earth&light, Llc NPPES

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

EARTH&LIGHT, LLC (NPI 1962269696), doing business as Lisa Marie Mallory Petersen, is a healthcare organization registered as a community/behavioral health in Williston, Vermont and active in the NPI registry since February 2024. The organization lists Lisa Petersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1962269696
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEARTH&LIGHT, LLC
Location Address8031 WILLISTON RD STE 9Williston, VT 05495-6200
Mailing Address8031 Williston Rd Ste 9Williston, VT 05495-6200 · (802) 858-5290
Organization SubpartNo
Authorized OfficialLisa PetersenOwner · (180) 287-1082
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1962269696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8031 WILLISTON RD STE 9, Williston, VT 05495

Other Names 1

Doing Business AsLisa Marie Mallory Petersen

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 Earth&light, LLC's NPI number?

The NPI number for Earth&light, LLC is 1962269696. It was assigned to this organization in the NPPES registry on February 29, 2024. The provider is doing business as Lisa Marie Mallory Petersen.

Where is Earth&light, LLC located?

Earth&light, LLC is located at 8031 Williston Rd Ste 9, Williston, VT 05495. The listed phone number is (802) 858-5290.

What is Earth&light, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Earth&light, LLC was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.