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General NPI Number Information
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NPI Number | 1619811007
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Entity Type | Organization
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Legal Business Name | BRIGHTWAY PROFESSIONALS AND ASSOCIATES
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 4810 SAINT BARNABAS RD # 201
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-4604
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Country | US
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Telephone | 301-899-2200
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Fax | 301-234-6308
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Provider Business Mailing Address
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Address Line | 4810 SAINT BARNABAS RD # 201
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City | TEMPLE HILLS
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State | MD
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Zip | 20748-4604
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Country | US
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Telephone | 301-899-2200
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Fax | 301-234-6308
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Authorized Official
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Title or Position | CEO
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Name | BAYO AKINTIMEHIN
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Credential |
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Telephone | 301-899-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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