Doctor Name: | BRANDI BRIGHT |
NPI Number: | 1063461648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHP |
License Number: | 2253 |
Business Practice Address: | 715 N Kansas Ave Hastings, NE - 689014453 |
Business Phone Number: | 4024637711 |
Business Fax Number: | |
Mailing Address: | 715 N Kansas Ave, HASTINGS |
State: | NE |
Postal Code: | 689014453 |
Phone Number: | 4024637711 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |