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NPI Code Detail

MEDICARE: BRIGHTER JOURNEYS, LLC

MEDICARE: BRIGHTER JOURNEYS, 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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770988503
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTER JOURNEYS, LLC
Provider Business Mailing Address
First Line : 8600 SAND LAKE SHORES DR
Second Line :
City : ORLANDO
State : FL
Zip : 32836-6397
Country : US
Telephone Number : 407-520-2700
Fax Number :
Provider Business Practice Location Address
First Line : 7600 DR PHILLIPS BLVD STE 72
Second Line :
City : ORLANDO
State : FL
Zip : 32819-7238
Country : US
Telephone Number : 407-730-5969
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TINA YUNIS
Credential : MS, BCBA
Telephone Number : 407-520-2700
Provider Enumeration Date : 10/22/2014
Last Update Date : 11/02/2022

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Directions to “BRIGHTER JOURNEYS, LLC ” Practice Location

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