BLACK LIGHT THERAPY, LLC
NPI 1710832704
Counselor - Mental Health in Baltimore, MD

Active since March 04, 2026
1307 SAINT PAUL STREET, SECOND FLOOR, SUITE E, BALTIMORE, MD 21202(425) 876-2681 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Mar 4, 2026 (2 updates tracked since 2026).

About Black Light Therapy, Llc NPPES

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

BLACK LIGHT THERAPY, LLC (NPI 1710832704) is a healthcare organization registered as a mental health in Baltimore, Maryland and active in the NPI registry since March 2026. The organization lists Rhonda Elaine Moore, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1710832704
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBLACK LIGHT THERAPY, LLC
Location Address1307 SAINT PAUL STREET, SECOND FLOOR, SUITE EBaltimore, MD 21202-2712
Mailing Address1307 Saint Paul Street, Second Floor, Suite EBaltimore, MD 21202-2712 · (425) 876-2681
Organization SubpartNo
Authorized OfficialRhonda Elaine MooreManaging Member · (425) 876-2681
Enumeration DateMarch 4, 2026
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1710832704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1307 SAINT PAUL STREET, Baltimore, MD 21202

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Black Light Therapy, LLC's NPI number?

The NPI number for Black Light Therapy, LLC is 1710832704. It was assigned to this organization in the NPPES registry on March 4, 2026.

Where is Black Light Therapy, LLC located?

Black Light Therapy, LLC is located at 1307 Saint Paul Street Second Floor, Suite E, Baltimore, MD 21202. The listed phone number is (425) 876-2681.

What is Black Light Therapy, LLC'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 Black Light Therapy, LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.