Healthcare Provider Details
I. General information
NPI: 1144063397
Provider Name (Legal Business Name): BRIGHTER DAYS MENTAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2024
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21455 S ELLSWORTH RD
QUEEN CREEK AZ
85142-9849
US
IV. Provider business mailing address
21455 S ELLSWORTH RD
QUEEN CREEK AZ
85142-9849
US
V. Phone/Fax
- Phone: 480-608-4742
- Fax: 800-524-5813
- Phone: 480-608-4742
- Fax: 800-524-5813
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANICE
WENTWORTH
Title or Position: OWNER
Credential: MSN, CNP, PMHNP-BC
Phone: 480-608-4742