# BRIGHTVIEW LLC

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

## Provider details

- **NPI number:** 1710672019
- **Legal business name:** BRIGHTVIEW LLC
- **Authorized official:** AMY MARIE NIEMAN (DIR OF CREDENTIALING & ENROLLMENT)
- **Authorized official phone:** (513) 834-7063

## Contact information

- **Practice address:** 1612 MADISON AVE, COVINGTON, KY 41011-3318
- **Practice address phone:** (833) 510-4357
- **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 | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |
| 261QM2800X | Methadone Clinic | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/11/2023
- **Last updated:** 04/11/2023