# BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174336150
- **Legal business name:** BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
- **Authorized official:** ISLAMMIYYAH B AL-AMEEN (DIRECTOR OF PROGRAMS)
- **Authorized official phone:** (410) 988-2655

## Contact information

- **Practice address:** 4200 EDMONDSON AVE STE 200, BALTIMORE, MD 21229-1614
- **Practice address phone:** (410) 988-2655
- **Practice address fax:** (410) 988-2626
- **Mailing address:** 4200 EDMONDSON AVE STE 200, BALTIMORE, MD 21229-1614
- **Mailing address phone:** (410) 988-2655
- **Mailing address fax:** (410) 988-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2025
- **Last updated:** 03/22/2026