Healthcare Provider Details

I. General information

NPI: 1477390284
Provider Name (Legal Business Name): BRIGHTER FUTURES THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

399 UNITED RD
RAEFORD NC
28376-5007
US

IV. Provider business mailing address

399 UNITED RD
RAEFORD NC
28376-5007
US

V. Phone/Fax

Practice location:
  • Phone: 860-552-9026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KRYSTAL GHIRARD
Title or Position: OWNER
Credential: BCBA
Phone: 860-552-9026