| Brighter Dimensions, Llc | |
|
514 W Atlanta St Broken Arrow OK 74012-7004 | |
| (918) 280-9104 | |
| (918) 609-2850 |
| Full Name | Brighter Dimensions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 514 W Atlanta St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | David R Cordle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9188506503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Dimensions, Llc 514 W Atlanta St Broken Arrow OK 74012-7004 Ph: (918) 280-9104 | Brighter Dimensions, Llc 514 W Atlanta St Broken Arrow OK 74012-7004 Ph: (918) 280-9104 |
| NPI Number | 1881012409 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 05/08/2014 |
| Medicare PECOS PAC ID | 3375078389 |
|---|---|
| Medicare Enrollment ID | O20241129000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881012409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Brittney Csw Zickefoose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427614213 PECOS PAC ID: 9537694542 Enrollment ID: I20241129000099 |
| Provider Name | Alisa K Little-longnecker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619945201 PECOS PAC ID: 3072048867 Enrollment ID: I20241203002884 |
| Provider Name | Christy Csw Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801178280 PECOS PAC ID: 1052847415 Enrollment ID: I20241209001852 |
| Provider Name | Bridgett Louise Moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134573959 PECOS PAC ID: 8325574791 Enrollment ID: I20241209002209 |
| Provider Name | Lauren Kennison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699451450 PECOS PAC ID: 9638605066 Enrollment ID: I20241210000154 |
| Provider Name | Dianna Lynn Schrimsher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841744356 PECOS PAC ID: 7719413079 Enrollment ID: I20241210001537 |
| Provider Name | Sara Jane Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780266403 PECOS PAC ID: 5890221162 Enrollment ID: I20241210002261 |
| Provider Name | Darcy Linam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649910324 PECOS PAC ID: 7618403999 Enrollment ID: I20241210002690 |
| Provider Name | Stephanie Horton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710291109 PECOS PAC ID: 8729513734 Enrollment ID: I20241212000292 |
| Provider Name | Kathryn E Stefanic |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417434259 PECOS PAC ID: 0446786529 Enrollment ID: I20241212002223 |
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