MEDICARE: BRIGHTER DAY 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1114695905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER DAY COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	1907 PRO AM PL
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-4322
Country	:	US
Telephone Number	:	317-929-9285
Fax Number	:

Provider Business Practice Location Address
First Line	:	11725 STILL HAVEN CT
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-3974
Country	:	US
Telephone Number	:	317-929-9285
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOY BANKS
Credential	:	LCSW
Telephone Number	:	317-929-9285

Provider Enumeration Date	:	09/06/2021
Last Update Date	:	09/06/2021

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