# LIGHT HEARTED WELLNESS CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023890217
- **Authorized official:** KIMBERLY SHAWN FIELDS PMHNP (PSYCHIATRIC NURSE PRACITIONER)
- **Authorized official phone:** (301) 526-8924

## Contact information

- **Practice address:** 10003 COURTVIEW LN STE E, CHESTERFIELD, VA 23832-6682
- **Practice address phone:** (804) 322-3054
- **Practice address fax:** (804) 884-3695
- **Mailing address:** 8708 HOLLYHEDGE LN, MECHANICSVILLE, VA 23116-4051
- **Mailing address phone:** (301) 526-8924
- **Mailing address fax:** (804) 884-3695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2023
- **Last updated:** 10/20/2023
