Provider Demographics
NPI:1952613440
Name:BRIGHTSONG, LLC
Entity Type:Organization
Organization Name:BRIGHTSONG, LLC
Other - Org Name:BRIGHT BEGINNINGS, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER / SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:901-309-3077
Mailing Address - Street 1:8972 ELDERBERRY CV
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-9504
Mailing Address - Country:US
Mailing Address - Phone:901-309-3077
Mailing Address - Fax:901-309-3072
Practice Address - Street 1:8972 ELDERBERRY CV
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-9504
Practice Address - Country:US
Practice Address - Phone:901-309-3077
Practice Address - Fax:901-309-3072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1418225XP0200X
TN3007235Z00000X
TN4426235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty