Provider Demographics
NPI:1003527540
Name:BRIGHTER LIFE FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:BRIGHTER LIFE FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LASTARR
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-475-8324
Mailing Address - Street 1:313 E BROAD ST STE 42
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1737
Mailing Address - Country:US
Mailing Address - Phone:804-475-8324
Mailing Address - Fax:
Practice Address - Street 1:313 E BROAD ST STE 42
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1737
Practice Address - Country:US
Practice Address - Phone:804-475-8324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health