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Organization
A BRIGHTER FUTURE, LLC
Active
Organization
A BRIGHTER FUTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY DAVID THEYE L.C.S.W., L.C.A.C. (PRESIDENT)
(260) 450-6068
Entity
Organization
Contact information
Practice address
4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804-6838
(260) 422-0843
Mailing address
8228 VICTORIA WOODS PL, FORT WAYNE, IN 46825-6506
(260) 450-6068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
34004130A
IN
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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