LIGHT AND MIND WELLNESS LLC NPI 1609449677

NPI Information

NPI: 1609449677
Provider Name: LIGHT AND MIND WELLNESS LLC

Other Name: LIGHT AND MIND WELLNESS LLC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
811 N BROAD ST STE 225A
MIDDLETOWN, DE
ZIP 19709
Phone: (443) 239-2033
Get Directions

LIGHT AND MIND WELLNESS LLC is a mental health (including community mental health center) clinic center in Middletown, DE. LIGHT AND MIND WELLNESS LLC NPI is 1609449677. The provider is registered as an organization entity type.
The provider Other Name Is Light And Mind Wellness Llc.

The provider's business location address is:

811 N BROAD ST STE 225A
MIDDLETOWN, DE
ZIP 19709-173
Phone: (443) 239-2033
Fax: (855) 461-3481

The provider's authorized official is Aisha Hassan-davis .
The authorized official title is Owner/provider and has the following contact phone number (443) 239-2033.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 3/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	250696270	MEDICAID	DELAWARE
2	206453701	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »