Healthcare Provider Details
I. General information
NPI: 1710809322
Provider Name (Legal Business Name): BRIGHTPATHS FAMILY SUPPORT & SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22626 ASPEN TARN TRL
SPRING TX
77373-2116
US
IV. Provider business mailing address
22626 ASPEN TARN TRL
SPRING TX
77373-2116
US
V. Phone/Fax
- Phone: 346-497-7714
- Fax:
- Phone: 346-497-7714
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
TOMIKO
BROWN
Title or Position: OWNER
Credential:
Phone: 346-497-7714