Healthcare Provider Details

I. General information

NPI: 1013246438
Provider Name (Legal Business Name): BRIGHTER PATH ALABAMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 MADISON STREET
COURTLAND AL
35618-0370
US

IV. Provider business mailing address

PO BOX 370
COURTLAND AL
35618-0370
US

V. Phone/Fax

Practice location:
  • Phone: 256-637-2199
  • Fax: 256-637-8911
Mailing address:
  • Phone: 256-637-2199
  • Fax: 256-637-8911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: BETTE MOORE
Title or Position: REGIONAL DIRECTOR OF OPERATIONS
Credential: LPC
Phone: 256-637-2199