Healthcare Provider Details

I. General information

NPI: 1558201327
Provider Name (Legal Business Name): BRIGHT PATH WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 W PLANT ST
WINTER GARDEN FL
34787-3320
US

IV. Provider business mailing address

2277 RIDGE AVE
CLERMONT FL
34711-8532
US

V. Phone/Fax

Practice location:
  • Phone: 352-298-2722
  • Fax: 888-414-7370
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NATACHA PIERRE
Title or Position: OWNER
Credential:
Phone: 609-502-7609