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General NPI Number Information
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NPI Number | 1245756238
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Entity Type | Organization
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Legal Business Name | BRIGHTWAY MENTAL HEALTH CLINIC
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 252 HECTOR AVE
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City | GRETNA
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State | LA
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Zip | 70056-2548
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Country | US
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Telephone | 504-444-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 252A HECTOR AVE
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City | GRETNA
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State | LA
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Zip | 70056-2548
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Country | US
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Telephone | 504-858-9074
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Fax |
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Authorized Official
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Title or Position | CEO/PARTNER
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Name | BRANDY D PREATTO
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Credential |
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Telephone | 504-858-9074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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