Brighter Life Behavioral Health LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Laurel, MD. Organization (NPI-2).
NPI number1265075014
StatusActive
Last updated in NPPESOct 24, 2019
Details
- NPI
- 1265075014
- Entity type
- Organization (NPI-2)
- Legal business name
- Brighter Life Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2019
- Last updated
- Oct 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
7911 Braygreen Rd Ste BLaurel, MD 20707-5002
Phone 301-523-3030 · Fax 301-927-5777
Mailing address
7911 Braygreen Rd Ste BLaurel, MD 20707-5002
Phone 301-523-3030 · Fax 301-927-5777
Authorized official
Willhemina Nana D Agormeda
Director
3015233030
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