Provider Demographics
NPI:1881384683
Name:BRIGHT INSIGHT THERAPY, LLC.
Entity type:Organization
Organization Name:BRIGHT INSIGHT THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JAGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:440-554-4668
Mailing Address - Street 1:25650 ELM ST
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-1610
Mailing Address - Country:US
Mailing Address - Phone:440-554-4668
Mailing Address - Fax:
Practice Address - Street 1:25650 ELM ST
Practice Address - Street 2:
Practice Address - City:OLMSTED FALLS
Practice Address - State:OH
Practice Address - Zip Code:44138-1610
Practice Address - Country:US
Practice Address - Phone:440-554-4668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health