Bright Light Mental Health Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRIGHT LIGHT MENTAL HEALTH SERVICES, LLC

Practice address

503 Oak Ave
Haines City, FL 33844-5225

Phone

(863) 353-5604

Fax

(863) 353-2107

NPI assigned

Nov 10, 2023

Organization subpart

No

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

Authorized official

Name

Agnes Gonzales Pierre

Title

Administrator

Phone

(863) 662-1543

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1124892054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 OAK AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445225",
            "telephone_number": "863-353-5604",
            "fax_number": "863-353-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 OAK AVE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445225",
            "telephone_number": "863-353-5604",
            "fax_number": "863-353-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIGHT MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "GONZALES PIERRE",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-662-1543"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ivette Borrero Santiago, RBT-25-454872
• Melody Bowers
• Megan Kathleen Bradley, MSW, RCSWI
• Amanda Brendemuehl, MS, ATC, LAT
• Breuer Health of Haines City
• Bright Start Possibilities LLC
• Antress Lavorin Burough
• Tisha Cabatana, O.D.
• Calidad de Vida Transportation LLC
• Camelot Healthcare Management Inc.

• Community/Behavioral Health Agency in Haines City, FL
• Providers in Haines City, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.