IMAGE OF LIGHT MENTAL HEALTH SERVICES, LLC
NPI 1124524798
Nurse Practitioner - Psychiatric/Mental Health in West Hartford, CT

Active since April 03, 2018
45 S MAIN ST STE 70, WEST HARTFORD, CT 06107(860) 299-6677 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Image Of Light Mental Health Services, Llc NPPES

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

IMAGE OF LIGHT MENTAL HEALTH SERVICES, LLC (NPI 1124524798) is a healthcare organization registered as a psychiatric/mental health in West Hartford, Connecticut and active in the NPI registry since April 2018. The organization maintains a secondary practice location in Bloomfield and lists Miriam Haynes, Owner, as its authorized official.

NPPES Registry Identity

NPI1124524798
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIMAGE OF LIGHT MENTAL HEALTH SERVICES, LLC
Location Address45 S MAIN ST STE 70West Hartford, CT 06107
Mailing Address53 Burnwood DrBloomfield, CT 06002-2235 · (860) 299-6677
Organization SubpartNo
Authorized OfficialMiriam HaynesOwner · (860) 299-6677
Enumeration DateApril 3, 2018
Last NPPES UpdateJuly 9, 2018
NPI 1124524798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
45 S MAIN ST STE 70, West Hartford, CT 06107

Secondary Practice Location 1

Location 13 Barnard Ln Ste 309Bloomfield, CT 06002-2495 · Phone (203) 299-6677

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
45 S MAIN ST STE 70
WEST HARTFORD, CT 06107
Marriage & Family Therapist
45 S MAIN ST STE 70
WEST HARTFORD, CT 06107
Marriage & Family Therapist
45 S MAIN ST STE 70
WEST HARTFORD, CT 06107

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 Image Of Light Mental Health Services, LLC's NPI number?

The NPI number for Image Of Light Mental Health Services, LLC is 1124524798. It was assigned to this organization in the NPPES registry on April 3, 2018.

Where is Image Of Light Mental Health Services, LLC located?

Image Of Light Mental Health Services, LLC is located at 45 S Main St Ste 70, West Hartford, CT 06107. The listed phone number is (860) 299-6677.

What is Image Of Light Mental Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Image Of Light Mental Health Services, LLC was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.