MEDICARE: BRIGHTER WAY COUNSELING AND WELLNESS 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1922996461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER WAY COUNSELING AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	9040 TEMPLE RD W
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33967-3741
Country	:	US
Telephone Number	:	239-634-1564
Fax Number	:

Provider Business Practice Location Address
First Line	:	9040 TEMPLE RD W
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33967-3741
Country	:	US
Telephone Number	:	239-634-1564
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	GUYNA DACIUS
Credential	:	LCSW
Telephone Number	:	239-634-1564

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/24/2025

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