Provider Demographics
NPI:1356890115
Name:BRIGHTER ALTNEERNATIVES
Entity type:Organization
Organization Name:BRIGHTER ALTNEERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KEYORKA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-265-6180
Mailing Address - Street 1:22140 HIGHWAY 20
Mailing Address - Street 2:SUITE C
Mailing Address - City:VACHERIE
Mailing Address - State:LA
Mailing Address - Zip Code:70090-3620
Mailing Address - Country:US
Mailing Address - Phone:225-265-6180
Mailing Address - Fax:225-265-6181
Practice Address - Street 1:22140 HIGHWAY 20
Practice Address - Street 2:SUITE C
Practice Address - City:VACHERIE
Practice Address - State:LA
Practice Address - Zip Code:70090-3620
Practice Address - Country:US
Practice Address - Phone:225-265-6180
Practice Address - Fax:225-265-6181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health