Provider Demographics
NPI:1689256083
Name:SUNLIGHT BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:SUNLIGHT BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEPHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NYANGWESO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-371-1400
Mailing Address - Street 1:20242 TARPON BAY LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5177
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20242 TARPON BAY LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5177
Practice Address - Country:US
Practice Address - Phone:316-371-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-25
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty