# LIGHT SPACE MENTAL HEALTH COUNSELING AND NURSE PRACTITIONER IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1467149856
- **Authorized official:** JOEY BUKAI PMHNP-BC, LMHC, RN (OWNER)
- **Authorized official phone:** (937) 756-6697

## Contact information

- **Practice address:** 418 BROADWAY STE 4279, ALBANY, NY 12207-2922
- **Practice address phone:** (937) 756-6697
- **Mailing address:** 418 BROADWAY STE 4279, ALBANY, NY 12207-2922
- **Mailing address phone:** (937) 756-6697

## 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:** 04/18/2023
- **Last updated:** 08/15/2025