| Black Light Therapy, Llc | |
|
1307 Saint Paul Street Second Floor, Suite E Baltimore MD 21202-2712 | |
| (425) 876-2681 | |
| Not Available |
| Full Name | Black Light Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1307 Saint Paul Street, Baltimore, Maryland |
| Authorized Official Name and Position | Rhonda Elaine Moore (MANAGING MEMBER) |
| Authorized Official Contact | 4258762681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Light Therapy, Llc 1307 Saint Paul Street Second Floor, Suite E Baltimore MD 21202-2712 Ph: (425) 876-2681 | Black Light Therapy, Llc 1307 Saint Paul Street Second Floor, Suite E Baltimore MD 21202-2712 Ph: (425) 876-2681 |
| NPI Number | 1710832704 |
|---|---|
| Provider Enumeration Date | 03/04/2026 |
| Last Update Date | 06/11/2026 |
| Certification Date | 06/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710832704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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