| My Bright Future, Llc | |
|
2626 S Loop W Ste 430 Houston TX 77054-2649 | |
| (713) 589-5363 | |
| (713) 589-3608 |
| Full Name | My Bright Future, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2626 S Loop W Ste 430, Houston, Texas |
| Authorized Official Name and Position | Ameisha Scott (MANAGER) |
| Authorized Official Contact | 7135895363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Bright Future, Llc 2626 S Loop W Ste 430 Houston TX 77054-2649 Ph: (713) 589-5363 | My Bright Future, Llc 2626 S Loop W Ste 430 Houston TX 77054-2649 Ph: (713) 589-5363 |
| NPI Number | 1225549413 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 0648537936 |
|---|---|
| Medicare Enrollment ID | O20171121002216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225549413 | NPI | - | NPPES |
| 1851609028 | Other | TX | NPI |
| 1891096426 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
| Provider Name | Ameisha J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851609028 PECOS PAC ID: 3971783515 Enrollment ID: I20110214000773 |
| Provider Name | Rahsheda Denise Perine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891096426 PECOS PAC ID: 1153556634 Enrollment ID: I20131109000312 |
| Provider Name | Kennetha L Frye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922551431 PECOS PAC ID: 7416236799 Enrollment ID: I20161108002551 |
| Provider Name | Tarina V Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609395532 PECOS PAC ID: 6406122944 Enrollment ID: I20171027000496 |
| Provider Name | Clayton Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740346642 PECOS PAC ID: 9931552908 Enrollment ID: I20240125002630 |
| Provider Name | Jack J Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891983151 PECOS PAC ID: 4284957291 Enrollment ID: I20240419003585 |
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