Provider Demographics
NPI:1174187686
Name:BRIGHTER DAY NEUROTHERAPY
Entity Type:Organization
Organization Name:BRIGHTER DAY NEUROTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AVIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-690-3726
Mailing Address - Street 1:8006 SHEPHERDSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-4050
Mailing Address - Country:US
Mailing Address - Phone:502-690-3726
Mailing Address - Fax:
Practice Address - Street 1:3101 BRECKENRIDGE LN STE 1A
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-2793
Practice Address - Country:US
Practice Address - Phone:502-690-3726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services