Healthcare Provider Details

I. General information

NPI: 1629498415
Provider Name (Legal Business Name): BRIGHTER DAY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 08/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 CLARINTH RD
BALTIMORE MD
21215-2405
US

IV. Provider business mailing address

PO BOX 551668
JACKSONVILLE FL
32255-1668
US

V. Phone/Fax

Practice location:
  • Phone: 713-581-8801
  • Fax: 866-518-3010
Mailing address:
  • Phone: 713-581-8801
  • Fax: 866-518-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: EVE BROWN
Title or Position: VP OPERATIONS
Credential:
Phone: 713-581-8801