Organization · NPI-2
A Brighter Future, LLC
Counselor, Professional · Fort Wayne, IN
NPI number1851672232
StatusActive
Last updated in NPPESAug 30, 2011
Details
- NPI
- 1851672232
- Entity type
- Organization (NPI-2)
- Legal business name
- A Brighter Future, LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2011
- Last updated
- Aug 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 34004130A | IN | Yes |
Practice location
4656 W Jefferson Blvd Ste 285Fort Wayne, IN 46804-6838
Phone 260-422-0843
Mailing address
8228 Victoria Woods PlFort Wayne, IN 46825-6506
Phone 260-450-6068
Authorized official
Timothy David Theye
President
2604506068
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