| Pure Light Mental Health Services | |
|
14707 Mattawoman Dr Brandywine MD 20613-2037 | |
| (301) 310-6163 | |
| Not Available |
| Full Name | Pure Light Mental Health Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 14707 Mattawoman Dr, Brandywine, Maryland |
| Authorized Official Name and Position | Sharon D Williams (OWNER) |
| Authorized Official Contact | 3013106163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Light Mental Health Services 14707 Mattawoman Dr Brandywine MD 20613-2037 Ph: (301) 310-6163 | Pure Light Mental Health Services 14707 Mattawoman Dr Brandywine MD 20613-2037 Ph: (301) 310-6163 |
| NPI Number | 1336098821 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/27/2026 |
| Certification Date | 01/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336098821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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