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NPI 1720931652

NPI 1720931652 : BRIGHT STEPS THERAPY LLC : BOGALUSA, LA

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General NPI Number Information
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    NPI Number           |    1720931652
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRIGHT STEPS THERAPY LLC 
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Dates
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    Enumeration Date     |    02/19/2026
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    Last Update Date     |    02/19/2026
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Provider Practice Location Address
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    Address Line         |    2313 AVENUE F 
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    City                 |    BOGALUSA
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    State                |    LA
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    Zip                  |    70427
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    Country              |    US
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    Telephone            |    601-799-6842
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    Fax                  |    601-746-5102
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Provider Business Mailing Address
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    Address Line         |    PO BOX 956 
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    City                 |    POPLARVILLE
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    State                |    MS
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    Zip                  |    39470-0956
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    Country              |    US
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    Telephone            |    601-799-6842
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    Fax                  |    601-746-5102
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    DR. SHANNON MCINTOSH HOUSTON 
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    Credential           |    DPT
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    Telephone            |    601-365-9868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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