Provider Demographics
NPI:1184093304
Name:BRIGHTER BEGINNINGS PLAY THERAPY, LLC
Entity type:Organization
Organization Name:BRIGHTER BEGINNINGS PLAY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:BLACK
Authorized Official - Last Name:HORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-236-5990
Mailing Address - Street 1:3939 LONDON CHURCH RD NE
Mailing Address - Street 2:
Mailing Address - City:ELM CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27822-8386
Mailing Address - Country:US
Mailing Address - Phone:252-236-5990
Mailing Address - Fax:
Practice Address - Street 1:3939 LONDON CHURCH RD NE
Practice Address - Street 2:
Practice Address - City:ELM CITY
Practice Address - State:NC
Practice Address - Zip Code:27822-8386
Practice Address - Country:US
Practice Address - Phone:252-236-5990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty