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BRIGHT PATH SUPPORT SERVICES NPI 1548733496


NPI Information

NPI: 1548733496
Provider Name: BRIGHT PATH SUPPORT SERVICES
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
615 E 92ND PL
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 614-6234
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BRIGHT PATH SUPPORT SERVICES is a counselor in Merrillville, IN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. BRIGHT PATH SUPPORT SERVICES NPI is 1548733496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 E 92ND PL
MERRILLVILLE, IN
ZIP 46410-111
Phone: (219) 614-6234

The provider's authorized official is Francheca Quyonnia Ballard .
The authorized official title is Ceo and has the following contact phone number (219) 614-6234.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 1/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201811061287762OTHERINDIANABUSINESS ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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