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Organization
ENLIGHT MENTAL HEALTH AND WELLNESS LLC
Active
Organization
ENLIGHT MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ABERNATHY BASS NP (FOUNDER)
(804) 337-3690
Entity
Organization
Contact information
Practice address
1231 ALVERSER DR STE 110, MIDLOTHIAN, VA 23113-2650
(804) 217-1840
(844) 742-6551
Mailing address
1231 ALVERSER DR STE 110, MIDLOTHIAN, VA 23113-2650
(804) 217-1840
(844) 742-6551
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
12/22/2024
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