Healthcare Provider Details
I. General information
NPI: 1639220056
Provider Name (Legal Business Name): MS. CHERYL LYNN BRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/13/2007
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1674 GREENBRIER RD
WEST SACRAMENTO CA
95691-4910
US
IV. Provider business mailing address
1797 FERRAN AVE
SACRAMENTO CA
95832-1121
US
V. Phone/Fax
- Phone: 916-372-8097
- Fax:
- Phone: 619-569-9326
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225400000X |
| Taxonomy | Rehabilitation Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: