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BRIGHT TOMORROWS CHILD ADVOCACY CENTER NPI 1619177797


NPI Information

NPI: 1619177797
Provider Name: BRIGHT TOMORROWS CHILD ADVOCACY CENTER

Former Legal Business Name: BRIGHT TOMORROWS, INC.

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
409 WASHINGTON AVE
POCATELLO, ID
ZIP 83201
Phone: (208) 234-2646
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BRIGHT TOMORROWS CHILD ADVOCACY CENTER is a counselor in Pocatello, ID. 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 TOMORROWS CHILD ADVOCACY CENTER NPI is 1619177797. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Bright Tomorrows, Inc..

The provider's business location address is:

409 WASHINGTON AVE
POCATELLO, ID
ZIP 83201-520
Phone: (208) 234-2646
Fax: (208) 232-0035

The provider's authorized official is Curtis Peterson .
The authorized official title is Business Director and has the following contact phone number (208) 234-2646.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 12/17/2009.


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
1101Y00000XCounselorLPC 870/LCPC 724IDAHOYes

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
18082288MEDICAIDIDAHO

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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