Provider Demographics
NPI:1821326729
Name:BRIGHTER PATH ALABAMA, LLC
Entity Type:Organization
Organization Name:BRIGHTER PATH ALABAMA, LLC
Other - Org Name:BRIGHTER PATH OWENS CROSS ROADS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-725-7170
Mailing Address - Street 1:318 HAMER RD
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9612
Mailing Address - Country:US
Mailing Address - Phone:256-725-7171
Mailing Address - Fax:256-725-7169
Practice Address - Street 1:318 HAMER RD
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-9612
Practice Address - Country:US
Practice Address - Phone:256-725-7171
Practice Address - Fax:256-725-7169
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYFS SALECO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-03
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility