Healthcare Provider Details

I. General information

NPI: 1922912807
Provider Name (Legal Business Name): A BRIGHTER DAY VIRTUAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 TEXAS ST STE 1300
SHREVEPORT LA
71101-3783
US

IV. Provider business mailing address

333 TEXAS ST STE 1300
SHREVEPORT LA
71101-3783
US

V. Phone/Fax

Practice location:
  • Phone: 318-408-1785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. DA'KALIAH WILLIAMS
Title or Position: OWNER
Credential:
Phone: 318-408-1785