MEDICARE: BRIGHTER DAY HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	2084P0805X	Geriatric Psychiatry Physician

General Provider Information

NPI Number	:	1194064766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER DAY HEALTH LLC

Provider Business Mailing Address
First Line	:	PO BOX 551668
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32255-1668
Country	:	US
Telephone Number	:	713-581-8801
Fax Number	:	866-518-3010

Provider Business Practice Location Address
First Line	:	5929 N MAY AVE STE 302
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-3925
Country	:	US
Telephone Number	:	713-581-8801
Fax Number	:

Authorized Official
Title or Position	:	VP OPERATIONS
Name	:	EVE BROWN
Credential	:
Telephone Number	:	713-581-8801

Provider Enumeration Date	:	02/02/2013
Last Update Date	:	08/08/2016

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Directions to “BRIGHTER DAY HEALTH LLC ” Practice Location

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