Organization · Type 2 NPI

Guiding-Light Behaverol Health

Psychiatric/Mental Health Nurse Practitioner · Washington, DC

NPI number 1588548945 Active

Practice location

800 Maine Ave SW
Washington, DC 20024-2805

Call (202) 730-5436 Map

Mailing address

8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516

Other practice locations

8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031-4516 · (202) 730-5436

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

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NPI record

NPI: 1588548945
Entity type: Organization (Type 2)
Issued: Jul 31, 2025
Last updated: Sep 10, 2025
Status: Active

Other names

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Guiding-Light Behaverol Health · doing business as
Guiding-Light Behaverol Health · doing business as

Authorized official

Ms. Bose Rose Ajayi, AUTHORIZED OFFICIAL
CEO
(202) 730-5436

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1588548945

Guiding-Light Behaverol Health's National Provider Identifier is 1588548945, issued on Jul 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Washington, DC. The record was last updated on Sep 10, 2025.