Light And Mind Wellness Llc

LBN: Light And Mind Wellness Llc
Light And Mind Wellness Llc is an health care organization with primary practice located at 811 N Broad St Ste 225A , Middletown DE 19709-1173. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Light And Mind Wellness Llc can be contacted via phone (443) 239-2033, or through Hassan-Davis, Aisha via phone (443) 239-2033.

Contact Information

Primary practice address
811 N Broad St Ste 225A Middletown DE 19709-1173
Phone: (443) 239-2033
Fax: (855) 461-3481
Website:
Map and Directions
Authorized official contact:
Name: Hassan-Davis, Aisha CNS,PMH-NP, APRN
Phone: (443) 239-2033

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1609449677
LBN Legal business name Light And Mind Wellness Llc
DBA Doing business as Light And Mind Wellness Llc
Authorized official Hassan-Davis, Aisha CNS,PMH-NP, APRN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2021
Last updated Mar 1st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609449677 NPPES
Delaware MEDICAID 250696270
Delaware MEDICAID 206453701

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