Doctor Name: | REGINA ANN BRIGHT |
NPI Number: | 1740515360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH9469 |
Business Practice Address: | 151 Mary Esther Blvd Suite 310 A. Mary Esther, FL - 325691974 |
Business Phone Number: | 8505984462 |
Business Fax Number: | 8502541986 |
Mailing Address: | 151 Mary Esther Blvd, Suite 310 A. MARY ESTHER |
State: | FL |
Postal Code: | 325691974 |
Phone Number: | 8505984462 |
Fax Number: | 8502541986 |
NPI Enumeration Date: | 10/15/2009 |
NPI Last Update Date: | 06/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH9469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |