| NPI | 1609449677 |
|---|---|
| Other Name | LIGHT AND MIND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | AISHA HASSAN-DAVIS Owner/Provider 443-239-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-03-01 |