Healthcare Provider Details

I. General information

NPI: 1164603650
Provider Name (Legal Business Name): BRIGHTER BEGINNINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2744 E 11TH ST STE E2
OAKLAND CA
94601-1457
US

IV. Provider business mailing address

2727 MACDONALD AVE
RICHMOND CA
94804-3006
US

V. Phone/Fax

Practice location:
  • Phone: 510-437-8950
  • Fax: 510-437-9795
Mailing address:
  • Phone: 510-610-8945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DR. BARBARA BUNN MCCULLOUGH
Title or Position: CEO
Credential: PH.D.
Phone: 510-610-8945