NPIMap

Organization Active NPI

Brighter Life Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Laurel, MD
National Provider Identifier
1558904391
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BRIGHTER LIFE BEHAVIORAL HEALTH LLC
Practice address
7911 Braygreen Rd Ste B
Laurel, MD 20707-5002
Phone
(301) 523-3030
Fax
(301) 927-5777
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Willhemina Nana D Agormeda
Title
Director
Phone
(301) 523-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7911 Braygreen Rd Ste B
Laurel, MD 20707-5002

Mailing address

7911 Braygreen Rd Ste B
Laurel, MD 20707-5002
Phone (301) 523-3030

National Provider Directory

National Provider Directory
Tax ID family
Brighter Life Behavioral Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7911 Braygreen Rd
Ste B
Laurel, MD 20707
Phone (301) 523-3030

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1558904391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 BRAYGREEN RD STE B",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075002",
            "telephone_number": "301-523-3030",
            "fax_number": "301-927-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7911 BRAYGREEN RD STE B",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075002",
            "telephone_number": "301-523-3030",
            "fax_number": "301-927-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER LIFE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "AGORMEDA",
        "authorized_official_first_name": "WILLHEMINA",
        "authorized_official_middle_name": "NANA D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-523-3030"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.