Healthcare Provider Details

I. General information

NPI: 1528494002
Provider Name (Legal Business Name): BRIGHTER DAY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 08/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 WILLOW WOOD DR
DOYLESTOWN PA
18901-5064
US

IV. Provider business mailing address

PO BOX 551668
JACKSONVILLE FL
32255-1668
US

V. Phone/Fax

Practice location:
  • Phone: 713-581-8801
  • Fax: 866-518-3010
Mailing address:
  • Phone: 713-581-8801
  • Fax: 866-518-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: EVE BROWN
Title or Position: VP OPERATIONS
Credential:
Phone: 713-581-8801