MEDICARE: BRIGHT SUNRISE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	106S00000X	Behavior Technician
3	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1013883560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT SUNRISE

Provider Business Mailing Address
First Line	:	1735 FREMONT ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5420
Country	:	US
Telephone Number	:	702-504-6916
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 FREMONT ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-5420
Country	:	US
Telephone Number	:	702-504-6916
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELVA ROMERO
Credential	:
Telephone Number	:	702-504-6916

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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Directions to “BRIGHT SUNRISE ” Practice Location

Language	Start Address	Practice Location

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