Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridge of Light LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1013747120

Bridge of Light LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Oklahoma City, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9130 S Walker Ave
Oklahoma City, OK 73139-8508
Phone: (405) 463-9796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1013747120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Xander Faison — Owner/Clinical Director · (443) 991-1582
Other names Bridge Of Light Inc
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 3, 2024
Mailing address4512 Sunnyview Dr Apt 178, Oklahoma City, OK 73135-3163

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