| Bright Tomorrows, Incorporated | |
|
409 Washington Ave Pocatello ID 83201-4520 | |
| (208) 234-2646 | |
| (208) 232-0035 |
| Full Name | Bright Tomorrows, Incorporated |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 409 Washington Ave, Pocatello, Idaho |
| Authorized Official Name and Position | Cassidy Michelle Roske (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2082342646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Tomorrows, Incorporated 409 Washington Ave Pocatello ID 83201-4520 Ph: (208) 234-2646 | Bright Tomorrows, Incorporated 409 Washington Ave Pocatello ID 83201-4520 Ph: (208) 234-2646 |
| NPI Number | 1619177797 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619177797 | NPI | - | NPPES |
| 8082288 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC 870/LCPC 724 (Idaho) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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