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Organization
BLACK LIGHT THERAPY, LLC
Active
Organization
BLACK LIGHT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA ELAINE MOORE (MANAGING MEMBER)
(425) 876-2681
Entity
Organization
Contact information
Practice address
1307 SAINT PAUL STREET, SECOND FLOOR, SUITE E, BALTIMORE, MD 21202-2712
(425) 876-2681
Mailing address
1307 SAINT PAUL STREET, SECOND FLOOR, SUITE E, BALTIMORE, MD 21202-2712
(425) 876-2681
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
06/11/2026
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