MEDICARE: A BRIGHTER PERSPECTIVE

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	NV20181243235	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1942707088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BRIGHTER PERSPECTIVE

Provider Business Mailing Address
First Line	:	1212 BUEHLER DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2128
Country	:	US
Telephone Number	:	310-855-2537
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 BUEHLER DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2128
Country	:	US
Telephone Number	:	310-855-2537
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TRACEE F WILLIAMS
Credential	:	BS, MS. PHD,
Telephone Number	:	310-855-2537

Provider Enumeration Date	:	04/06/2018
Last Update Date	:	04/06/2018

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Directions to “A BRIGHTER PERSPECTIVE ” Practice Location

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