| Brighter Horizons Counseling Llc | |
|
102 N Elm Pl Ste N Broken Arrow OK 74012-3883 | |
| (539) 589-1529 | |
| Not Available |
| Full Name | Brighter Horizons Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 102 N Elm Pl Ste N, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Melissa Gantz (OWNER) |
| Authorized Official Contact | 5395891529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Horizons Counseling Llc 2928 N Fern Ct Broken Arrow OK 74012-0834 Ph: (539) 589-1529 | Brighter Horizons Counseling Llc 102 N Elm Pl Ste N Broken Arrow OK 74012-3883 Ph: (539) 589-1529 |
| NPI Number | 1992453609 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 5395185003 |
|---|---|
| Medicare Enrollment ID | O20240429001912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992453609 | NPI | - | NPPES |
| 2715 | Other | OK | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Melissa Gantz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164795803 PECOS PAC ID: 4385084094 Enrollment ID: I20240429001984 |
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