Provider Demographics
NPI:1912176249
Name:BRIGHT ALTERNATIVES INC
Entity Type:Organization
Organization Name:BRIGHT ALTERNATIVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-583-2893
Mailing Address - Street 1:9401 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 183 & SUITE 186
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4233
Mailing Address - Country:US
Mailing Address - Phone:623-583-2893
Mailing Address - Fax:
Practice Address - Street 1:9401 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 183 & SUITE 186
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4233
Practice Address - Country:US
Practice Address - Phone:623-583-2893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-1584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty