Provider Demographics
NPI:1427583988
Name:A BRIGHTER DAY COUNSELING, LLC
Entity Type:Organization
Organization Name:A BRIGHTER DAY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:DEMENT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP
Authorized Official - Phone:615-557-2801
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:TN
Mailing Address - Zip Code:37010-0033
Mailing Address - Country:US
Mailing Address - Phone:615-557-2801
Mailing Address - Fax:844-414-1191
Practice Address - Street 1:1821 HAYNES ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4548
Practice Address - Country:US
Practice Address - Phone:615-557-2801
Practice Address - Fax:844-414-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2998101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty