MEDICARE: BRIGHTER GROUND THERAPY PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1356275457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER GROUND THERAPY PLLC

Provider Business Mailing Address
First Line	:	2650 WASHINGTON BLVD STE 102D
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84401-3623
Country	:	US
Telephone Number	:	801-391-1473
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 WASHINGTON BLVD STE 102D
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84401-3623
Country	:	US
Telephone Number	:	801-391-1473
Fax Number	:

Authorized Official
Title or Position	:	OWNER, LCSW
Name	:	TALIA LEE QUARTUCCIO
Credential	:	LCSW
Telephone Number	:	801-391-1473

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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