Provider Demographics
NPI:1437020302
Name:LIGHT BEHAVIORAL HEALTH, PLLC
Entity type:Organization
Organization Name:LIGHT BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OBIOMA
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:774-360-9899
Mailing Address - Street 1:1017 TURNPIKE ST STE 36B
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2828
Mailing Address - Country:US
Mailing Address - Phone:774-360-9899
Mailing Address - Fax:
Practice Address - Street 1:1017 TURNPIKE ST STE 36B
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2828
Practice Address - Country:US
Practice Address - Phone:774-360-9899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty