Healthcare Provider Details

I. General information

NPI: 1053224899
Provider Name (Legal Business Name): BRIGHTER JOURNEY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 ELM AVE SW
ROANOKE VA
24016-3921
US

IV. Provider business mailing address

541 ELM AVE SW
ROANOKE VA
24016-3921
US

V. Phone/Fax

Practice location:
  • Phone: 540-566-3368
  • Fax: 540-566-3369
Mailing address:
  • Phone: 540-566-3368
  • Fax: 540-566-3369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: ANGELA BOLDEN
Title or Position: OWNER
Credential: PH.D.
Phone: 540-566-3368