- Practice location
- 418 Broadway Ste 4279, Albany, NY 12207-2922
- Phone
- 937-756-6697
- Fax
- —
- Last updated
- August 15, 2025
Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC is a healthcare organization based in Albany, NY. Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC practices in Albany, NY. The NPI Number for Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC is 1467149856. The current practice location address for Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC is 418 Broadway Ste 4279, Albany, NY 12207-2922 and can be reached out via phone at 937-756-6697.
Provider Profile Details
- NPI Number
- 1467149856
- Provider Name
- Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC
- Provider Entity Type
- Organization
- Address
- 418 Broadway Ste 4279, Albany, NY 12207-2922
- Phone Number
- 937-756-6697
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Joey Bukai, PMHNP-BC, LMHC, RN · Owner · 937-756-6697
- Provider Enumeration Date
- April 18, 2023
- Last Update Date
- August 15, 2025
- Certification Date
- August 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 418 Broadway Ste 4279
Albany, NY 12207-2922 - City
- Albany
- State
- New York
- Zip
- 12207-2922
- Phone Number
- 937-756-6697
Provider Business Mailing Address Details
- Address
- 418 Broadway Ste 4279
Albany, NY 12207-2922 - City
- Albany
- State
- NY
- Zip
- 12207-2922
- Phone Number
- 937-756-6697
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC?
The NPI number of Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC is 1467149856. It was assigned on April 18, 2023 and is currently active in the NPPES registry.
What is the specialty of Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC?
Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Light Space Mental Health Counseling And Nurse Practitioner In Psychiatry PLLC practice?
The practice location is 418 Broadway Ste 4279, Albany, NY 12207-2922. The office can be reached at 937-756-6697 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467149856 directly on the NPPES registry website.