Healthcare Provider Details

I. General information

NPI: 1659972198
Provider Name (Legal Business Name): BRIGHT VIEW BEHAVIORAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93911 OVERSEAS HWY STE 8
TAVERNIER FL
33070-3025
US

IV. Provider business mailing address

14754 SW 178TH TER
MIAMI FL
33187-7709
US

V. Phone/Fax

Practice location:
  • Phone: 786-419-9609
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: NATASHA POSADA
Title or Position: CO-OWNER
Credential: LMHC
Phone: 786-419-9609