=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225959596
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRIGHTER HORIZONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1925 LOGSDEN RD
-----------------------------------------------------
City | SILETZ
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97380-9607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-444-2021
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 616
-----------------------------------------------------
City | SILETZ
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97380-0616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 541-444-2021
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | DAKOTA S MCKNIGHT-TODD
-----------------------------------------------------
Credential | QMHA
-----------------------------------------------------
Telephone | 541-272-2202
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------