Provider Demographics
NPI:1750660601
Name:BRIGHTER, STRONGER FOUNDATION
Entity Type:Organization
Organization Name:BRIGHTER, STRONGER FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGHT-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-574-0000
Mailing Address - Street 1:2945 EMMORTON RD UNIT 321
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-7513
Mailing Address - Country:US
Mailing Address - Phone:410-574-0000
Mailing Address - Fax:410-574-0002
Practice Address - Street 1:6 NASHUA CT
Practice Address - Street 2:SU B
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21221-3124
Practice Address - Country:US
Practice Address - Phone:410-574-0000
Practice Address - Fax:410-574-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
MD6933050-00253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6933050-00Medicaid
MD696480Medicaid