Bright Path Wellness Center LLC

Primary specialty

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

Legal business name

BRIGHT PATH WELLNESS CENTER LLC

Practice address

683 Anna Ridge Rd
Minneola, FL 34715-6101

Phone

(918) 636-2775

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Wesley Jones, PMHNP-BC

Title

MBR

Phone

(918) 636-2775

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1912730169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 ANNA RIDGE RD",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347156101",
            "telephone_number": "918-636-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 ANNA RIDGE RD",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347156101",
            "telephone_number": "918-636-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT PATH WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "918-636-2775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cuoi Bailey, APRN
• Clemence Denise Beckham, COTA/L
• Samantha G Boyett, OTA
• Allison Neale Briggs
• Bright Angels Therapy Services Inc
• Bridgett B Brown
• C&J Home Health Services LLC
• Eyleen Cannon, APRN, PMHNP-BC
• George Cannon, APRN, PMHNP-BC
• Kathy Carpenter, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Minneola, FL
• Providers in Minneola, 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 Aug 22, 2024; 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.