| 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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