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NPI Code Detail

MEDICARE: BRIGHTER DAYS COUNSELING CENTER LLC

MEDICARE: BRIGHTER DAYS COUNSELING CENTER 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
1101Y00000XCounselor
2106H00000XMarriage & Family Therapist
3101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1841800687
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTER DAYS COUNSELING CENTER LLC
Provider Business Mailing Address
First Line : 5884 FARMHOUSE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89141-0401
Country : US
Telephone Number : 702-748-6836
Fax Number :
Provider Business Practice Location Address
First Line : 6392 MCLEOD DR STE 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4417
Country : US
Telephone Number : 702-748-6836
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TEKELLA SAMPSON
Credential :
Telephone Number : 702-748-6836
Provider Enumeration Date : 08/06/2020
Last Update Date : 08/06/2020

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Directions to “BRIGHTER DAYS COUNSELING CENTER LLC ” Practice Location

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