MEDICARE: BRIGHTER HEARTS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073070777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER HEARTS COUNSELING LLC

Provider Business Mailing Address
First Line	:	6915 S RED RD STE 227
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3657
Country	:	US
Telephone Number	:	305-783-9452
Fax Number	:

Provider Business Practice Location Address
First Line	:	6915 S RED RD STE 227
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-3657
Country	:	US
Telephone Number	:	305-783-9452
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. PATRICIA MONTERO
Credential	:	LMHC
Telephone Number	:	305-783-9452

Provider Enumeration Date	:	02/28/2019
Last Update Date	:	04/26/2021

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