Healthcare Provider Details

I. General information

NPI: 1447096623
Provider Name (Legal Business Name): BRIGHTER WORLD THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 BEIDEMAN AVE
CHERRY HILL NJ
08002-2780
US

IV. Provider business mailing address

9 BLUE GRASS WAY
GLASSBORO NJ
08028-2063
US

V. Phone/Fax

Practice location:
  • Phone: 856-955-1822
  • Fax:
Mailing address:
  • Phone: 856-955-1822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. WHITNEY SAMUELS
Title or Position: OWNER
Credential: MS CCC-SLP
Phone: 856-986-0048