Provider Demographics
NPI:1841099090
Name:HEALTH LIGHT BEHAVIORAL SERVICES PLLC
Entity type:Organization
Organization Name:HEALTH LIGHT BEHAVIORAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENOCH
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOMAKO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:719-941-1400
Mailing Address - Street 1:2909 E ARKANSAS LN STE C
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-6930
Mailing Address - Country:US
Mailing Address - Phone:682-259-0637
Mailing Address - Fax:682-259-0637
Practice Address - Street 1:2909 E ARKANSAS LN STE C
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-6930
Practice Address - Country:US
Practice Address - Phone:682-259-0637
Practice Address - Fax:682-259-0637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty