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NPI Code Detail

MEDICARE: BRIGHTER FUTURE COUNSELING SERVICES, LLC

MEDICARE: BRIGHTER FUTURE COUNSELING SERVICES, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1073980520
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTER FUTURE COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 4601 N MARKET ST
Second Line : SUITE 2
City : SHREVEPORT
State : LA
Zip : 71107-2971
Country : US
Telephone Number : 318-424-8735
Fax Number : 318-424-8739
Provider Business Practice Location Address
First Line : 4571 N MARKET ST
Second Line :
City : SHREVEPORT
State : LA
Zip : 71107-2917
Country : US
Telephone Number : 318-424-8735
Fax Number : 318-424-8739
Authorized Official
Title or Position : CEO
Name : MR. RICKEY D. EVANS
Credential :
Telephone Number : 318-424-8735
Provider Enumeration Date : 08/31/2015
Last Update Date : 06/21/2023

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Directions to “BRIGHTER FUTURE COUNSELING SERVICES, LLC ” Practice Location

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