BRIDGE OF LIGHT LLC
NPI 1447904842
Counselor - Mental Health in Oklahoma City, OK

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

The NPI number for Bridge Of Light is 1447904842. It was assigned to this organization in the NPPES registry on February 5, 2022. The provider is also known as Bridge Of Light LLC.

Q: What is Bridge Of Light's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Bridge Of Light was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 05, 2022

14300 N PENNSYLVANIA AVE APT 326, OKLAHOMA CITY, OK 73134(405) 568-1338 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2022, Feb 5, 2022 (2 updates tracked since 2022).

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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 1447904842) is a healthcare organization registered as a mental health in Oklahoma City, Oklahoma and active in the NPI registry since February 2022. The organization lists Xander Daniel Faison, Owner, as its authorized official.

NPPES Registry Identity

NPI1447904842

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameBRIDGE OF LIGHT

Location Address14300 N PENNSYLVANIA AVE APT 326Oklahoma City, OK 73134-6063

Mailing Address14300 N Pennsylvania Ave Apt 326Oklahoma City, OK 73134-6063 · (405) 568-1338

Phone(405) 568-1338

Organization SubpartNo

Authorized OfficialXander Daniel FaisonOwner · (405) 568-1338

Enumeration DateFebruary 5, 2022

Last NPPES UpdateMay 3, 20222 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1447904842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedHome HealthTaxonomy 251E00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X

14300 N PENNSYLVANIA AVE APT 326, Oklahoma City, OK 73134

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Other Names 1

Other NameBridge Of Light Llc

Other Providers at the Same Location NPPES

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

BREAKING BARRIERS TOGETHER

Psychologist (Family)

14300 N PENNSYLVANIA AVE APT 326
OKLAHOMA CITY, OK 73134

Oklahoma County (405) 568-1338

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's NPI number?

The NPI number for Bridge Of Light is 1447904842. It was assigned to this organization in the NPPES registry on February 5, 2022. The provider is also known as Bridge Of Light LLC.

Where is Bridge Of Light located?

Bridge Of Light is located at 14300 N Pennsylvania Ave Apt 326, Oklahoma City, OK 73134. The listed phone number is (405) 568-1338.

What is Bridge Of Light's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bridge Of Light was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.