Pure Light Psychiatry LLC
NPI #1932742988 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1932742988
- Entity Type
- Organization
- Organization Name
- Pure Light Psychiatry LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Oct 22, 2019
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- 5600 GOODMAN RD STE B
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-7002
- Phone
- (662) 890-7010
Authorized Official
- Name
- MRS. STEPHANIE MACHELLE DOUGLASS, APRN, PMHNP
- Title
- PMHNP
- Phone
- (662) 890-7010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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