NPI Code Details Logo

NPI 1255904777

NPI 1255904777 : BRIGHTPOINT WELLNESS CENTER : UPPER MARLBORO, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1255904777
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BRIGHTPOINT WELLNESS CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/22/2021
-----------------------------------------------------
    Last Update Date     |    03/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1450 MERCANTILE LN STE 201 
-----------------------------------------------------
    City                 |    UPPER MARLBORO
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20774-5396
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-304-7307
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1450 MERCANTILE LN STE 201 
-----------------------------------------------------
    City                 |    UPPER MARLBORO
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20774-5396
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    301-304-7307
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MR. CHRISTOPHER E WHITE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    678-435-5055
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YA0400X
-----------------------------------------------------
    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    261QR0405X
-----------------------------------------------------
    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    2084P0802X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Psychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.