Provider Demographics
NPI:1043983075
Name:BRIGHTER DAYS SOBER LIVING COMMUNITY LLC
Entity Type:Organization
Organization Name:BRIGHTER DAYS SOBER LIVING COMMUNITY LLC
Other - Org Name:BRIGHTER DAYS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CREMEANS
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA
Authorized Official - Phone:740-861-0977
Mailing Address - Street 1:609 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-1038
Mailing Address - Country:US
Mailing Address - Phone:740-861-0977
Mailing Address - Fax:
Practice Address - Street 1:609 3RD AVE
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-1038
Practice Address - Country:US
Practice Address - Phone:740-451-0680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-27
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1043983075Medicaid