Provider Demographics
NPI:1942707088
Name:A BRIGHTER PERSPECTIVE
Entity Type:Organization
Organization Name:A BRIGHTER PERSPECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACEE
Authorized Official - Middle Name:F
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MS PHD,
Authorized Official - Phone:310-855-2537
Mailing Address - Street 1:1212 BUEHLER DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2128
Mailing Address - Country:US
Mailing Address - Phone:310-855-2537
Mailing Address - Fax:
Practice Address - Street 1:1212 BUEHLER DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2128
Practice Address - Country:US
Practice Address - Phone:310-855-2537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20181243235251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1912403171Medicaid