OrganizationActive
Girls Light Our Way
NPI 1316805062 · Adolescent and Children Mental Health Clinic/Center · Peoria, IL
Provider details
- NPI number
- 1316805062
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dawn Harris Jeffries PH.D, President & Ceo(917) 770-6058
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
201 Sw Adams St
Peoria, IL 61602-1407
Phone: (917) 770-6058
Approximate (ZIP-level) locationGet directions
Mailing address
1325 W Holly Hedges Dr
Peoria, IL 61614-4172
Registry dates
- Enumerated
- 2026-01-12
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.