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Organization
HEALING LIGHT PSYCHIATRY
Active
Organization
HEALING LIGHT PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELILAT BUHARI (OWNER OF ENTITY)
(469) 619-7235
Entity
Organization
Contact information
Practice address
4131 N CENTRAL EXPY STE 900, DALLAS, TX 75204-2120
(469) 619-7235
Mailing address
4131 N CENTRAL EXPY STE 900, DALLAS, TX 75204-2120
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
08/15/2023
Last updated
08/15/2023
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