Provider Demographics
NPI:1356860944
Name:BRIGHTER BRAINS, LLC
Entity Type:Organization
Organization Name:BRIGHTER BRAINS, LLC
Other - Org Name:JLF SERVICES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO, CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:912-481-2652
Mailing Address - Street 1:PO BOX 2872
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30459-2872
Mailing Address - Country:US
Mailing Address - Phone:912-481-2652
Mailing Address - Fax:912-225-3770
Practice Address - Street 1:124 SAVANNAH AVE STE 1C
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-7149
Practice Address - Country:US
Practice Address - Phone:912-225-3760
Practice Address - Fax:912-225-3770
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHTER BRAINS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-14
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9526261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty