| Brighter Heights Arizona, Llc | |
|
2517 N Great Western Dr Ste P Prescott Valley AZ 86314-2597 | |
| (928) 777-4131 | |
| (928) 227-4589 |
| Full Name | Brighter Heights Arizona, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2517 N Great Western Dr Ste P, Prescott Valley, Arizona |
| Authorized Official Name and Position | Brooke Wilson (SENIOR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9287724131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brighter Heights Arizona, Llc 2517 N Great Western Dr Ste P Prescott Valley AZ 86314-2597 Ph: (928) 777-4131 | Brighter Heights Arizona, Llc 2517 N Great Western Dr Ste P Prescott Valley AZ 86314-2597 Ph: (928) 777-4131 |
| NPI Number | 1376601914 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376601914 | NPI | - | NPPES |
| 210064 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | BH-2730 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | BH-3517 (Arizona) | Primary |
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