MEDICARE: BRIGHT LIFE PSYCHIATRY AND WELLNESS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1992592257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT LIFE PSYCHIATRY AND WELLNESS

Provider Business Mailing Address
First Line	:	395 SAWDUST RD
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2242
Country	:	US
Telephone Number	:	832-819-8249
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 SAWDUST RD
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2242
Country	:	US
Telephone Number	:	832-819-8249
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. KENDALL DERAN DENSON
Credential	:
Telephone Number	:	832-819-8249

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	07/07/2025

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