Provider Demographics
NPI:1366232258
Name:BRIGHTWAY BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:BRIGHTWAY BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILALTA
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:786-620-9225
Mailing Address - Street 1:2961 NW 157TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33054-2237
Mailing Address - Country:US
Mailing Address - Phone:786-620-9225
Mailing Address - Fax:786-620-9225
Practice Address - Street 1:2961 NW 157TH TERRACE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33054
Practice Address - Country:US
Practice Address - Phone:786-620-9225
Practice Address - Fax:786-620-9225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health