Organization · Type 2 NPI

Lyght Bulb Moments LLC

Psychiatric/Mental Health Nurse Practitioner · Rutland, VT

NPI number 1720653355 Active

Practice location

54 Howe Street, Building A ; PO Box 105 Suite 105
Rutland, VT 05701-3802

Fax (888) 502-6598

Mailing address

12247 Big Canoe
Big Canoe, GA 30143-5161

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

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

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About NPI 1720653355

Lyght Bulb Moments LLC's National Provider Identifier is 1720653355, issued on May 25, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rutland, VT. The record was last updated on Oct 29, 2025.