Healthcare Provider Details

I. General information

NPI: 1538679238
Provider Name (Legal Business Name): BRIGHTER HORIZONS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2017
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 W PINE ST
HATTIESBURG MS
39401-4262
US

IV. Provider business mailing address

77 SAINT ANNES DR
HATTIESBURG MS
39401-8252
US

V. Phone/Fax

Practice location:
  • Phone: 601-447-4658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MELANIE DALE
Title or Position: OWNER
Credential: BCBA
Phone: 601-447-4658