PURE LIGHT MENTAL HEALTH SERVICES LLC
NPI 1174472682
Nurse Practitioner - Psychiatric/Mental Health in Brandywine, MD

Active since January 27, 2026
14707 MATTAWOMAN DR, BRANDYWINE, MD 20613(301) 310-6163 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pure Light Mental Health Services Llc NPPES

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

PURE LIGHT MENTAL HEALTH SERVICES LLC (NPI 1174472682) is a healthcare organization registered as a psychiatric/mental health in Brandywine, Maryland and active in the NPI registry since January 2026. The organization lists Sharon D Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1174472682
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePURE LIGHT MENTAL HEALTH SERVICES LLC
Location Address14707 MATTAWOMAN DRBrandywine, MD 20613-2037
Mailing Address14707 Mattawoman DrBrandywine, MD 20613-2037 · (301) 310-6163
Organization SubpartNo
Authorized OfficialSharon D WilliamsOwner · (301) 310-6163
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
NPI 1174472682 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
14707 MATTAWOMAN DR, Brandywine, MD 20613

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 2

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

Clinic/Center (Adolescent and Children Mental Health)
14707 MATTAWOMAN DR
BRANDYWINE, MD 20613
Registered Nurse (Psychiatric/Mental Health)
14707 MATTAWOMAN DR
BRANDYWINE, MD 20613

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 Pure Light Mental Health Services LLC's NPI number?

The NPI number for Pure Light Mental Health Services LLC is 1174472682. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Pure Light Mental Health Services LLC located?

Pure Light Mental Health Services LLC is located at 14707 Mattawoman Dr, Brandywine, MD 20613. The listed phone number is (301) 310-6163.

What is Pure 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 Pure Light Mental Health Services LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.