Healthcare Provider Details

I. General information

NPI: 1578478574
Provider Name (Legal Business Name): A BRIGHTER PATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 WALMART WAY
MIDLOTHIAN VA
23113-2692
US

IV. Provider business mailing address

1920 WALMART WAY
MIDLOTHIAN VA
23113-2692
US

V. Phone/Fax

Practice location:
  • Phone: 804-549-9300
  • Fax:
Mailing address:
  • Phone: 804-549-9300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: JASMINE CAYLA JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential: QMHP, RN
Phone: 804-549-9300