# BRIGHT STAR BEHAVIORAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114685880
- **Authorized official:** REBECCA FREMPONG ANTWI PMHNP (OWNER)
- **Authorized official phone:** (509) 762-7344

## Contact information

- **Practice address:** 110 ARMISTICE BLVD, PAWTUCKET, RI 02860-5354
- **Practice address phone:** (508) 762-7344
- **Mailing address:** 110 ARMISTICE BLVD STE 3, PAWTUCKET, RI 02860-5354
- **Mailing address phone:** (508) 762-7344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2021
- **Last updated:** 10/11/2022