Light Source Group LLC
Light Source Group LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, Arkansas. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
625 N 1st St Ste 200Jacksonville, AR 72076-4117
Phone: (501) 985-0292
Fax: (501) 985-2070
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|
Record details
| NPI number | 1922832906 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sean Ronnau — Counselor · (501) 747-0232 |
| NPI enumerated | August 30, 2024 |
| Last updated in NPPES | July 7, 2026 |
| Certification date | July 7, 2026 |
| Mailing address | 116 W Hickory St, Jacksonville, AR 72076-4420 |
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