Organization
BRIGHTER LIFE OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN CHRISTOPHER SIMMONS (MANAGING MEMBER)
(702) 849-9185
Entity
Organization
Contact information
Practice address
2915 W CHARLESTON BLVD STE 190, LAS VEGAS, NV 89102-1978
(702) 849-9185
Mailing address
325 N GIBSON RD APT 1421, HENDERSON, NV 89014-6748
(702) 849-9185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/02/2019
Last updated
12/23/2019
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