Healthcare Provider Details

I. General information

NPI: 1093337073
Provider Name (Legal Business Name): BRIGHTER DAYS TREATMENT CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 ARMAND ST
MONROE LA
71201-3915
US

IV. Provider business mailing address

2509 BROADMOOR BLVD STE B
MONROE LA
71201-3184
US

V. Phone/Fax

Practice location:
  • Phone: 318-737-1095
  • Fax:
Mailing address:
  • Phone: 318-737-1095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY HENDRIX
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 318-789-7239