Healthcare Provider Details

I. General information

NPI: 1972106888
Provider Name (Legal Business Name): BRIGHTER HORIZONS HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2020
Last Update Date: 11/21/2020
Certification Date: 11/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 N CEDAR AVE STE 102
FRESNO CA
93726-2538
US

IV. Provider business mailing address

1254 N LUCERNE LN
FRESNO CA
93728-1713
US

V. Phone/Fax

Practice location:
  • Phone: 559-260-9162
  • Fax: 559-499-1037
Mailing address:
  • Phone: 559-260-1620
  • Fax: 559-499-1037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. CHERYL ANN WHITTLE
Title or Position: PRESIDENT
Credential: LCSW
Phone: 559-260-9162