1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Nurse Practitioner
  6. NPI Profile

BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
NPI 1174336150
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since January 31, 2025CLIA 21D2326655 · Waiver
4200 EDMONDSON AVE STE 200, BALTIMORE, MD 21229(410) 988-2655(410) 988-2626 Get Directions Write a Review

NPPES record last updated: March 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bright Life Enhancement Services,l.l.c NPPES

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

BRIGHT LIFE ENHANCEMENT SERVICES,L.L.C (NPI 1174336150) is a healthcare organization registered as a psychiatric/mental health in Baltimore, Maryland and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Islammiyyah B Al-ameen, Director Of Programs, as its authorized official.

NPPES Registry Identity

NPI1174336150
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBRIGHT LIFE ENHANCEMENT SERVICES,L.L.C
Location Address4200 EDMONDSON AVE STE 200Baltimore, MD 21229-1614
Mailing Address4200 Edmondson Ave Ste 200Baltimore, MD 21229-1614 · (410) 988-2655 · Fax (410) 988-2626
Phone(410) 988-2655
Fax(410) 988-2626
Organization SubpartYes
Authorized OfficialIslammiyyah B Al-ameenDirector Of Programs · (410) 988-2655
Enumeration DateJanuary 31, 2025
Last NPPES UpdateMarch 22, 2026
NPPES CertifiedMarch 22, 2026
✔ NPI 1174336150 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
4200 EDMONDSON AVE STE 200, Baltimore, MD 21229
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2326655

Brightlife Enhancement Services · Hagerstown, MD
Active · expires Jul 7, 2027
CLIA Number21D2326655
Laboratory TypePractitioner Other
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorIslammiyyah Al-Ameen
Laboratory Phone(410) 988-2655
Laboratory LocationBrightlife Enhancement Services226 N Potomac Street, Hagerstown, MD 21740
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MIA AL
Nurse Practitioner (Psychiatric/Mental Health)
4200 EDMONDSON AVE STE 200
BALTIMORE, MD 21229
Baltimore City (410) 202-2866

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 Bright Life Enhancement Services,l.L.C's NPI number?

The NPI number for Bright Life Enhancement Services,l.L.C is 1174336150. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is Bright Life Enhancement Services,l.L.C located?

Bright Life Enhancement Services,l.L.C is located at 4200 Edmondson Ave Ste 200, Baltimore, MD 21229. The listed phone number is (410) 988-2655.

What is Bright Life Enhancement Services,l.L.C's specialty?

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

Does Bright Life Enhancement Services,l.L.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2326655) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bright Life Enhancement Services,l.L.C was last updated on March 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.