Light Works Wellness Centre
Light Works Wellness Centre is a healthcare organization registered as Health Service Clinic/Center in Bunnell, FL, holding Type 2 (organization) NPI 1174789150 since 2008. The authorized official on file is Carolyn Randolph, Principal.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174789150 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Light Works Wellness Centre |
| Practice address | 4601 E HIGHWAY 100, SUITE B-8, Bunnell, FL, 32110 |
| Phone | 3864375992 |
| Enumeration date | 2008-07-30 |
| Last updated in NPPES | 2008-07-30 |
Authorized official
| Name | Carolyn Randolph |
|---|---|
| Title | Principal |
| Phone | 3869312212 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QH0100X | Health Service Clinic/Center | Primary | MM12805 | FL |
Copy-ready billing details
Provider: Light Works Wellness Centre NPI: 1174789150 Taxonomy: 261QH0100X (Health Service Clinic/Center) Address: 4601 E HIGHWAY 100, SUITE B-8, Bunnell, FL, 32110
Verify this record
Cross-check NPI 1174789150 against the authoritative CMS record: view Light Works Wellness Centre on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Light Works Wellness Centre?
Who is the authorized official for Light Works Wellness Centre?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-30.