Organization · NPI-2
Brighter Spirits, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Jacksonville, NC
NPI number1720958325
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1720958325
- Entity type
- Organization (NPI-2)
- Legal business name
- Brighter Spirits, PLLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2025
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2100 Country Club Rd Apt 706Jacksonville, NC 28546-7309
Phone 317-469-3582 · Fax 910-238-2521
Mailing address
2100 Country Club Rd Apt 706Jacksonville, NC 28546-7309
Phone 317-469-3582 · Fax 910-238-2521
Authorized official
Lateefa Z Shabazz
Founder & Clinical Director, Bright
3174693582
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