Provider Demographics
NPI:1336801380
Name:BRIGHTER DAY COUNSELING AND CONSULTING SERVICES OF CENLA, LLC
Entity Type:Organization
Organization Name:BRIGHTER DAY COUNSELING AND CONSULTING SERVICES OF CENLA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VONDA
Authorized Official - Middle Name:LAUTRE'C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW-BACS
Authorized Official - Phone:318-730-6115
Mailing Address - Street 1:4501 JACKSON ST STE C278
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2555
Mailing Address - Country:US
Mailing Address - Phone:318-513-3115
Mailing Address - Fax:318-513-3110
Practice Address - Street 1:4501 JACKSON ST STE C278
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2555
Practice Address - Country:US
Practice Address - Phone:318-513-3115
Practice Address - Fax:318-513-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1326141813OtherNPI TYPE 1