Enlight Mental Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ENLIGHT MENTAL HEALTH AND WELLNESS LLC

Practice address

1231 Alverser Dr Ste 110
Midlothian, VA 23113-2650

Phone

(804) 217-1840

Fax

(844) 742-6551

NPI assigned

Mar 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Abernathy Bass, NPNPI 1356537211

Title

Founder

Phone

(804) 337-3690

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Abernathy Bass, NPC

  • Nurse Practitioner
  • Richmond, VA
  • NPI 1356537211
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1093575805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 ALVERSER DR STE 110",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132650",
            "telephone_number": "804-217-1840",
            "fax_number": "844-742-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 ALVERSER DR STE 110",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132650",
            "telephone_number": "804-217-1840",
            "fax_number": "844-742-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHT MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ABERNATHY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "804-337-3690",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.