Healthcare Provider Details

I. General information

NPI: 1376458505
Provider Name (Legal Business Name): BRIGHT PATH RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 KALAMATA LN
DURHAM NC
27703-5505
US

IV. Provider business mailing address

1207 KALAMATA LN
DURHAM NC
27703-5505
US

V. Phone/Fax

Practice location:
  • Phone: 919-945-6277
  • Fax:
Mailing address:
  • Phone: 919-945-6277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARY ELIZABETH JENNINGS
Title or Position: CEO
Credential: JENNINGS
Phone: 919-945-6277