Light Works Wellness Centre
NPI 1174789150 · Health Service Clinic/Center · Bunnell, FL
Light Works Wellness Centre is a Health Service Clinic/Center organization in Bunnell, FL (NPI 1174789150).
Provider details
- NPI number
- 1174789150
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carolyn Randolph, Principal(386) 931-2212
- License
- MM12805 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-30
- Last updated
- 2008-07-30
Frequently asked questions
- What is Light Works Wellness Centre's NPI number?
- Light Works Wellness Centre's National Provider Identifier (NPI) is 1174789150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Light Works Wellness Centre?
- Light Works Wellness Centre is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Light Works Wellness Centre located?
- Light Works Wellness Centre's practice location on file with NPPES is 4601 E Highway 100, Bunnell, FL 32110-9017.
- What is Light Works Wellness Centre's phone number?
- The practice phone number listed in the NPPES registry for Light Works Wellness Centre is (386) 437-5992.
- Who is the authorized official for Light Works Wellness Centre?
- The authorized official listed on Light Works Wellness Centre's NPPES record is Carolyn Randolph, Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Light Works Wellness Centre's NPI active?
- Yes — Light Works Wellness Centre's NPI (1174789150) is active in the NPPES registry as of the last update on 2008-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.