Organization · Type 2 NPI

Share Light Behavioral Health LLC

Psychiatric/Mental Health Nurse Practitioner · Windsor Mill, MD

NPI number 1518735554 Active

Practice location

3100 Lord Baltimore Dr Ste 101
Windsor Mill, MD 21244-5804

Fax (410) 645-8393

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1518735554

Share Light Behavioral Health LLC's National Provider Identifier is 1518735554, issued on Dec 19, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Windsor Mill, MD. The record was last updated on Dec 19, 2023.