Healthcare Provider Details

I. General information

NPI: 1023853975
Provider Name (Legal Business Name): BRIGHT FUTURES PSYCHIATRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 HOLLOW BROOK DR STE 210
COLORADO SPRINGS CO
80918-8401
US

IV. Provider business mailing address

4729 OPUS DR
COLORADO SPRINGS CO
80906-8694
US

V. Phone/Fax

Practice location:
  • Phone: 719-289-3173
  • Fax: 866-718-1677
Mailing address:
  • Phone: 719-289-3173
  • Fax: 866-718-1677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERIN RECINOS
Title or Position: CEO
Credential: PMHNP-BC
Phone: 719-289-3173