Provider Demographics
NPI:1760867220
Name:BRIGHTER HORIZON LLC
Entity Type:Organization
Organization Name:BRIGHTER HORIZON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-792-2160
Mailing Address - Street 1:115 N WELLS ST
Mailing Address - Street 2:STE-A
Mailing Address - City:KOSCIUSKO
Mailing Address - State:MS
Mailing Address - Zip Code:39090-3647
Mailing Address - Country:US
Mailing Address - Phone:662-792-2160
Mailing Address - Fax:662-792-4209
Practice Address - Street 1:115 N WELLS ST
Practice Address - Street 2:STE-A
Practice Address - City:KOSCIUSKO
Practice Address - State:MS
Practice Address - Zip Code:39090-3647
Practice Address - Country:US
Practice Address - Phone:662-792-2160
Practice Address - Fax:662-792-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC16071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty