Healthcare Provider Details

I. General information

NPI: 1861010308
Provider Name (Legal Business Name): BRIGHTER DAYS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 E CARLETON RD
HILLSDALE MI
49242-1619
US

IV. Provider business mailing address

9611 CEMENT CITY HWY
ADDISON MI
49220-9723
US

V. Phone/Fax

Practice location:
  • Phone: 517-234-5645
  • Fax:
Mailing address:
  • Phone: 517-252-1145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANELLE STAVISKI
Title or Position: OWNER
Credential:
Phone: 517-252-1145