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Light And Mind Wellness Llc
Psychiatric/Mental Health Nurse Practitioner in Middletown, Delaware
NPI 1609449677

Light And Mind Wellness Llc is a Psychiatric/Mental Health Nurse Practitioner based in Easton, DE and is specialized in Psychiatric/Mental Health. Light And Mind Wellness Llc practices in Middletown, DE. The NPI Number for Light And Mind Wellness Llc is 1609449677 and holds a License No. (Delaware).

The current practice location address for Light And Mind Wellness Llc is 811 N Broad St Ste 225A, Middletown, DE and can be reached out via phone at 443-239-2033 and via fax at 855-461-3481.

Location: 811 N Broad St Ste 225A, Middletown, DE, 21601-6910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609449677
Provider Name
Light And Mind Wellness Llc
Credential
Provider Entity Type
Organization
Address
811 N Broad St Ste 225A, Middletown, DE, 21601-6910
Phone Number
443-239-2033
Fax Number
855-461-3481
Provider Enumeration Date
07/19/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
250696270 05 DE
206453701 05 MD
institution
Provider Business Practice Location Address Details
Address
811 N Broad St Ste 225A
City
Middletown
State
Delaware
Zip
19709-1173
Phone Number
443-239-2033
Fax Number
855-461-3481
person
Provider Business Mailing Address Details
Address
811 N Broad St Ste 225A
City
Middletown
State
Delaware
Zip
19709-1173
Phone Number
443-239-2033
Fax Number
855-461-3481
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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