Provider Demographics
NPI:1083431084
Name:WINDOWS OF LIGHT BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:WINDOWS OF LIGHT BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOLUWALOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-993-0433
Mailing Address - Street 1:7661 ARUNDEL MILLS BLVD
Mailing Address - Street 2:SUITE 1146
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7661 ARUNDEL MILLS BLVD
Practice Address - Street 2:SUITE 1146
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076
Practice Address - Country:US
Practice Address - Phone:443-993-0433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty