Bright Path Support Services

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BRIGHT PATH SUPPORT SERVICES

Practice address

615 E 92ND PL
Merrillville, IN 46410-8111

Phone

(219) 614-6234

NPI assigned

Jan 3, 2019

Organization subpart

No

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

Authorized official

Name

Francheca Quyonnia Ballard, MS

Title

Ceo

Phone

(219) 614-6234

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1548733496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E 92ND PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108111",
            "telephone_number": "219-614-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 92ND PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108111",
            "telephone_number": "219-614-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PATH SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "FRANCHECA",
        "authorized_official_middle_name": "QUYONNIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-614-6234",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS ID",
            "identifier": "201811061287762",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.