MEDICARE: BRIGHTFUTURENOW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1356021935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTFUTURENOW

Provider Business Mailing Address
First Line	:	5552 BIG PERRY RD
Second Line	:
City	:	MOREHEAD
State	:	KY
Zip	:	40351-8954
Country	:	US
Telephone Number	:	859-312-7229
Fax Number	:	859-309-0353

Provider Business Practice Location Address
First Line	:	5552 BIG PERRY RD
Second Line	:
City	:	MOREHEAD
State	:	KY
Zip	:	40351-8954
Country	:	US
Telephone Number	:	859-312-7229
Fax Number	:	859-309-0353

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	VICTORIA LYNN EWING
Credential	:	LCSW
Telephone Number	:	859-312-7229

Provider Enumeration Date	:	07/19/2023
Last Update Date	:	07/19/2023

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Directions to “BRIGHTFUTURENOW ” Practice Location

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