MEDICARE: BRIGHT MOMENTS 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1578429361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT MOMENTS LLC

Provider Business Mailing Address
First Line	:	4804 PAGE CREEK LN # 74
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8582
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4804 PAGE CREEK LN # 74
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8582
Country	:	US
Telephone Number	:	917-334-1337
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YITCHOK KOHEN
Credential	:
Telephone Number	:	917-334-1337

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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Directions to “BRIGHT MOMENTS LLC ” Practice Location

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