Healthcare Provider Details

I. General information

NPI: 1710660584
Provider Name (Legal Business Name): BRIGHTER DAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 WOLCOTT ST
WATERBURY CT
06705-1317
US

IV. Provider business mailing address

910 WOLCOTT ST STE 13
WATERBURY CT
06705-1360
US

V. Phone/Fax

Practice location:
  • Phone: 203-568-6065
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: GITTI KAHAN
Title or Position: OWNER
Credential:
Phone: 203-568-6065