Healthcare Provider Details

I. General information

NPI: 1720446180
Provider Name (Legal Business Name): A BRIGHTER TODAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 02/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5737 OLD NATIONAL HIGHWAY 3001B
ATLANTA GA
30349
US

IV. Provider business mailing address

5737 OLD NATIONAL HIGHWAY 3001B
ATLANTA GA
30349
US

V. Phone/Fax

Practice location:
  • Phone: 678-834-7615
  • Fax:
Mailing address:
  • Phone: 678-834-7615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. NIKKI RICHARDSON
Title or Position: OWNER
Credential:
Phone: 678-834-7615