| Brightlife Behavioral Health Llc | |
|
700 Bryden Rd # 122 Columbus OH 43215-4839 | |
| (614) 404-1337 | |
| Not Available |
| Full Name | Brightlife Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Bryden Rd # 122, Columbus, Ohio |
| Authorized Official Name and Position | Tarsicio Gacheru (CNP) |
| Authorized Official Contact | 6144041337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightlife Behavioral Health Llc 700 Bryden Rd # 122 Columbus OH 43215-4839 Ph: (614) 404-1337 | Brightlife Behavioral Health Llc 700 Bryden Rd # 122 Columbus OH 43215-4839 Ph: (614) 404-1337 |
| NPI Number | 1437841095 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437841095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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