NPIMap

Organization Active NPI

Bright Life Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Panama City, FL
National Provider Identifier
1669152237
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BRIGHT LIFE THERAPY LLC
Practice address
844 N Tyndall Pkwy # 108
Panama City, FL 32404-9407
Phone
(360) 953-3199
NPI assigned
Jul 19, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Vanessa Anne GraffNPI 1255882031
Title
Owner
Phone
(360) 953-3199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

844 N Tyndall Pkwy # 108
Panama City, FL 32404-9407

Mailing address

7700 NE Parkway Dr Ste 215
Vancouver, WA 98662-6653
Phone (360) 953-3199

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1669152237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE PARKWAY DR STE 215",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626653",
            "telephone_number": "360-953-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N TYNDALL PKWY # 108",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324049407",
            "telephone_number": "360-953-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-953-3199"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.