NPI | 1932806742 |
---|---|
Doing Business As | HOPE AND LIGHT MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | MANIJEH REYNOLDS Owner 502-830-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2023-02-13 |
Last Update Date | 2023-02-21 |