BRIDGE OF LIGHT LLC
NPI 1013747120
Clinic/Center - Mental Health (Including Community Mental Health Center) in Oklahoma City, OK

Q: What is Bridge Of Light LLC's NPI number?

The NPI number for Bridge Of Light LLC is 1013747120. It was assigned to this organization in the NPPES registry on August 5, 2024. The provider is doing business as Bridge of Light Inc.

Q: What is Bridge Of Light LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since August 05, 2024

9130 S WALKER AVE, OKLAHOMA CITY, OK 73139(405) 463-9796 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bridge Of Light Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE OF LIGHT LLC (NPI 1013747120), doing business as Bridge Of Light Inc, is a healthcare organization registered as a mental health (including community mental health center) in Oklahoma City, Oklahoma and active in the NPI registry since August 2024. The organization lists Xander D Faison, Owner/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1013747120

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameBRIDGE OF LIGHT LLC

Location Address9130 S WALKER AVEOklahoma City, OK 73139-8508

Mailing Address4512 Sunnyview Dr Apt 178Oklahoma City, OK 73135-3163 · (443) 991-1582

Phone(405) 463-9796

Organization SubpartNo

Authorized OfficialXander D FaisonOwner/clinical Director · (443) 991-1582

Enumeration DateAugust 5, 2024

NPPES CertifiedAugust 3, 2024

✔ NPI 1013747120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

9130 S WALKER AVE, Oklahoma City, OK 73139

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Other Names 1

Doing Business AsBridge Of Light Inc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridge Of Light LLC's NPI number?

The NPI number for Bridge Of Light LLC is 1013747120. It was assigned to this organization in the NPPES registry on August 5, 2024. The provider is doing business as Bridge of Light Inc.

Where is Bridge Of Light LLC located?

Bridge Of Light LLC is located at 9130 S Walker Ave, Oklahoma City, OK 73139. The listed phone number is (405) 463-9796.

What is Bridge Of Light LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Bridge Of Light LLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.