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

Light Space Mental Health Counseling and Nurse Practitioner in Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1467149856

Light Space Mental Health Counseling and Nurse Practitioner in Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Albany, New York. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

418 Broadway Ste 4279
Albany, NY 12207-2922
Phone: (937) 756-6697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 302 5th Ave Ste 1103, New York, NY 10001-3604 — (937) 756-6697

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1467149856
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joey Bukai — Owner · (937) 756-6697
NPI enumeratedApril 18, 2023
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address418 Broadway Ste 4279, Albany, NY 12207-2922

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