Brightlife Institute, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRIGHTLIFE INSTITUTE, LLC

Practice address

2315 Shimmery Lane
Lake Worth, FL 33462

Phone

(305) 901-3911

NPI assigned

May 20, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Prad A GeorgesNPI 1295052942

Title

President

Phone

(305) 901-3911

Specialties & licenses 1

Addresses

Other names 1

• Bright Life Institute Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prad A Georges, MS

  • Marriage & Family Therapist
  • Altamonte Springs, FL
  • NPI 1295052942
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1104449503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541173",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334541173",
            "telephone_number": "305-901-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 SHIMMERY LANE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "305-901-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTLIFE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "GEORGES",
        "authorized_official_first_name": "PRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-901-3911"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@brightlifeinstitute.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6742 Forest Hill Blvd # 177",
            "city": "Greenacres",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334133321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bright Life Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stevon Brewster
• Bridge of Care LLC
• Geralde St Surin Bridges
• Bright Futures Behavior Analysis Inc
• Bright Minds Pediatric Therapy LLC.
• Anisleidy Brito Chacon
• Rene Brito Perez
• Matthew Q Bromer, DO
• Peter Robert Bronstein, ARNP, LMHC
• Brooklyn Med Medical Supply LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.