Provider Demographics
NPI:1821823204
Name:BRIGHTER HORIZONS TREATMENT AND ASSESSMENT
Entity type:Organization
Organization Name:BRIGHTER HORIZONS TREATMENT AND ASSESSMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OUTPATIENT THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS, LCSWA, CCSI
Authorized Official - Phone:910-568-6239
Mailing Address - Street 1:1830 OWEN DR STE 202-4
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-1611
Mailing Address - Country:US
Mailing Address - Phone:910-568-6239
Mailing Address - Fax:
Practice Address - Street 1:1830 OWEN DR STE 202-4
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-1611
Practice Address - Country:US
Practice Address - Phone:910-568-6239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty