Provider Demographics
NPI:1952603300
Name:BRIGHT START SERVICES, LLC
Entity Type:Organization
Organization Name:BRIGHT START SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:509-826-1550
Mailing Address - Street 1:638 OKOMA DR
Mailing Address - Street 2:PO BOX 3054
Mailing Address - City:OMAK
Mailing Address - State:WA
Mailing Address - Zip Code:98841-9525
Mailing Address - Country:US
Mailing Address - Phone:509-429-0399
Mailing Address - Fax:509-826-1525
Practice Address - Street 1:638 OKOMA DR
Practice Address - Street 2:
Practice Address - City:OMAK
Practice Address - State:WA
Practice Address - Zip Code:98841-9525
Practice Address - Country:US
Practice Address - Phone:509-826-1550
Practice Address - Fax:509-826-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00003294225XP0200X
WALL00004339235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty