Basic Information
| Provider Information | |||||||||
| NPI: | 1073148839 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BRIGHTER FUTURE COUNSELING SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7505 PINES RD STE 1295 | ||||||||
| Address2: | |||||||||
| City: | SHREVEPORT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711293923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184248735 | ||||||||
| FaxNumber: | 3184248739 | ||||||||
| Practice Location | |||||||||
| Address1: | 721 HOMER RD | ||||||||
| Address2: | |||||||||
| City: | MINDEN | ||||||||
| State: | LA | ||||||||
| PostalCode: | 710553019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184248735 | ||||||||
| FaxNumber: | 3184248739 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2020 | ||||||||
| LastUpdateDate: | 03/11/2020 | ||||||||
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| AuthorizedOfficialLastName: | EVANS | ||||||||
| AuthorizedOfficialFirstName: | YOMEKA | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | COO/ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 3184248735 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0801X | Y | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No ID Information.