Bridge of Light
Bridge of Light is a Mental Health Counselor in Oklahoma City, Oklahoma. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 5
Practice location Address checks out
14300 N Pennsylvania Ave Apt 326Oklahoma City, OK 73134-6063
Phone: (405) 568-1338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
| Home Health Agency | Taxonomy 251E00000X |
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X |
Record details
| NPI number | 1447904842 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Xander Faison — Owner · (405) 568-1338 |
| Other names | Bridge Of Light Llc; Bridge Of Light Llc |
| NPI enumerated | February 5, 2022 |
| Last updated in NPPES | May 3, 2022 |
| Certification date | May 3, 2022 |
| Mailing address | 14300 N Pennsylvania Ave Apt 326, Oklahoma City, OK 73134-6063 |
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