Provider Demographics
NPI:1184430795
Name:BRIGHT FUTURES CASE MANAGEMENT LLC
Entity type:Organization
Organization Name:BRIGHT FUTURES CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MERENA
Authorized Official - Middle Name:K
Authorized Official - Last Name:CLINE-ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:304-916-6977
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:ELLENBORO
Mailing Address - State:WV
Mailing Address - Zip Code:26346-0093
Mailing Address - Country:US
Mailing Address - Phone:681-528-9127
Mailing Address - Fax:304-869-3211
Practice Address - Street 1:100 SCHOOL ST. BLDG B
Practice Address - Street 2:
Practice Address - City:ELLENBORO WV
Practice Address - State:WV
Practice Address - Zip Code:26346
Practice Address - Country:US
Practice Address - Phone:681-528-9127
Practice Address - Fax:304-869-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management