# BRIGHTVIEW LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIGHTVIEW LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134724404
- **Legal business name:** BRIGHTVIEW LLC
- **Authorized official:** AMY MARIE NIEMAN (DIRECTOR)
- **Authorized official phone:** (833) 510-4357

## Contact information

- **Practice address:** 421 HOME ST, GEORGETOWN, OH 45121-1407
- **Practice address phone:** (513) 834-7063
- **Practice address fax:** (513) 873-1567
- **Mailing address:** 4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
- **Mailing address phone:** (833) 510-4357
- **Mailing address fax:** (866) 460-2997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 05/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100707910 | — | KY |