Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shining Light Behavior Health Services

Organization Nurse Practitioner · NPI 1447136122

Shining Light Behavior Health Services is a Nurse Practitioner in Lawrenceville, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1523 Great Shoals Cir
Lawrenceville, GA 30045-7098
Phone: (404) 800-0397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1447136122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Reginald Drumgoole — Owner · (404) 800-0397
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address1523 Great Shoals Cir, Lawrenceville, GA 30045-7098

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