OrganizationActive
Laurel Light LLC.
NPI 1609577311 · Substance Use Disorder Rehabilitation Clinic/Center · Mount Laurel, NJ
Provider details
- NPI number
- 1609577311
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Laurel Light LLC.
- Organization subpart
- Yes
- Authorized official
- Michael Rodgers, Cmo(267) 687-9008
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
801 Birchfield Dr
Mount Laurel, NJ 08054-4015
Phone: (703) 955-0587
Street-level locationGet directions
Mailing address
801 Birchfield Dr
Mount Laurel, NJ 08054-4015
Other names (DBA / former)
- Doing business as
- Laurel Healing Center
Registry dates
- Enumerated
- 2023-03-10
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.