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Organization
SHARE LIGHT BEHAVIORAL HEALTH LLC
Active
Organization
SHARE LIGHT BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFOLASHADE ADEOLA (OWNER)
(443) 985-7511
Entity
Organization
Contact information
Practice address
3100 LORD BALTIMORE DR STE 101, WINDSOR MILL, MD 21244-5804
(443) 985-7511
(410) 645-8393
Mailing address
3100 LORD BALTIMORE DR STE 101, WINDSOR MILL, MD 21244-5804
(443) 985-7511
(410) 645-8393
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
12/19/2023
Last updated
12/19/2023
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