# LYGHT BULB MOMENTS LLC

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

## Provider details

- **NPI number:** 1720653355
- **Authorized official:** TINEY RAY (NP)
- **Authorized official phone:** (678) 701-4679

## Contact information

- **Practice address:** 54 HOWE STREET, BUILDING A ; PO BOX 105 SUITE 105, RUTLAND, VT 05701-3802
- **Practice address phone:** (888) 987-3991
- **Practice address fax:** (888) 502-6598
- **Mailing address:** 12247 BIG CANOE, BIG CANOE, GA 30143-5161
- **Mailing address phone:** (888) 987-3991
- **Mailing address fax:** (888) 502-6598

## 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:** 05/25/2021
- **Last updated:** 10/29/2025