Organization
GUIDING-LIGHT BEHAVEROL HEALTH
Active
Other names
GUIDING-LIGHT BEHAVEROL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BOSE ROSE AJAYI AUTHORIZED OFFICIAL (CEO)
(202) 730-5436
Entity
Organization
Contact information
Practice address
800 MAINE AVE SW, WASHINGTON, DC 20024-2805
(202) 730-5436
Mailing address
8280 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4516
(202) 730-5436
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
09/10/2025
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