Organization
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Active
Parent organization
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Authorized official
ISLAMMIYYAH B AL-AMEEN (DIRECTOR OF PROGRAMS)
(410) 988-2655
Entity
Organization
Contact information
Practice address
4200 EDMONDSON AVE STE 200, BALTIMORE, MD 21229-1614
(410) 988-2655
(410) 988-2626
Mailing address
4200 EDMONDSON AVE STE 200, BALTIMORE, MD 21229-1614
(410) 988-2655
(410) 988-2626
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
03/22/2026
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