Bright Light Mental Health Services, Llc | |
503 Oak Ave Haines City FL 33844-5225 | |
(863) 353-5604 | |
(863) 353-2107 |
Full Name | Bright Light Mental Health Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 503 Oak Ave, Haines City, Florida |
Authorized Official Name and Position | Agnes Gonzales Pierre (ADMINISTRATOR) |
Authorized Official Contact | 8636621543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bright Light Mental Health Services, Llc 503 Oak Ave Haines City FL 33844-5225 Ph: (863) 353-5604 | Bright Light Mental Health Services, Llc 503 Oak Ave Haines City FL 33844-5225 Ph: (863) 353-5604 |
NPI Number | 1124892054 |
---|---|
Provider Enumeration Date | 11/10/2023 |
Last Update Date | 11/10/2023 |
Certification Date | 11/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124892054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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