Provider Demographics
NPI:1376270967
Name:BRIGHTER LIFE SOLUTIONS
Entity Type:Organization
Organization Name:BRIGHTER LIFE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MONROE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:361-880-0413
Mailing Address - Street 1:303 E AIRLINE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3957
Mailing Address - Country:US
Mailing Address - Phone:361-880-0413
Mailing Address - Fax:833-947-2270
Practice Address - Street 1:303 E AIRLINE RD STE 4
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3957
Practice Address - Country:US
Practice Address - Phone:361-880-0413
Practice Address - Fax:833-947-2270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601371341OtherMAGELLAN
TX152238501Medicaid
TX152238502Medicaid