| Bright Sky Therapy Llc | |
|
4609 N 121st Ter Kansas City KS 66109-2928 | |
| (913) 424-5130 | |
| Not Available |
| Full Name | Bright Sky Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4609 N 121st Ter, Kansas City, Kansas |
| Authorized Official Name and Position | Tatyana Fastovskaya (CEO) |
| Authorized Official Contact | 9134245130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Sky Therapy Llc 4609 N 121st Ter Kansas City KS 66109-2928 Ph: (913) 424-5130 | Bright Sky Therapy Llc 4609 N 121st Ter Kansas City KS 66109-2928 Ph: (913) 424-5130 |
| NPI Number | 1538780234 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538780234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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