Provider Demographics
NPI:1366632762
Name:BRIGHTER FUTURE YOUTH SERVICES
Entity Type:Organization
Organization Name:BRIGHTER FUTURE YOUTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHA
Authorized Official - Middle Name:SHANAE
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:864-346-2044
Mailing Address - Street 1:434 CANEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-3230
Mailing Address - Country:US
Mailing Address - Phone:864-346-2044
Mailing Address - Fax:
Practice Address - Street 1:434 CANEWOOD PL
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-3230
Practice Address - Country:US
Practice Address - Phone:864-346-2044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8810251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health