# BRIGHT PSYCHE PSYCHOLOGICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bright Psyche Psychology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235552787
- **Authorized official:** MAGDA M LOPEZ PSY.D. (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (305) 495-8347

## Contact information

- **Practice address:** 710 OAKFIELD DR STE 223, BRANDON, FL 33511-4954
- **Practice address phone:** (813) 419-3137
- **Practice address fax:** (877) 599-4198
- **Mailing address:** 710 OAKFIELD DR STE 223, BRANDON, FL 33511-4954
- **Mailing address phone:** (813) 419-3137
- **Mailing address fax:** (877) 599-4198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | PY8347 | FL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 12/10/2021