Health Light Behavioral Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEALTH LIGHT BEHAVIORAL SERVICES PLLC

Practice address

2909 E Arkansas LN Ste C
Arlington, TX 76010-6930

Phone

(682) 259-0637

Fax

(682) 259-0637

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Enoch Adomako, OWNERNPI 1205306578

Title

Owner

Phone

(719) 941-1400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Enoch Adomako, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1205306578

  TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1841099090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 E ARKANSAS LN STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106930",
            "telephone_number": "682-259-0637",
            "fax_number": "682-259-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 E ARKANSAS LN STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106930",
            "telephone_number": "682-259-0637",
            "fax_number": "682-259-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LIGHT BEHAVIORAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "ADOMAKO",
        "authorized_official_first_name": "ENOCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-941-1400",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-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 Arlington, TX
• Providers in Arlington, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.