Organization
BRIGHT SHADOWS CORPORATION
Active
Other names
Bright Shadows Telepsych, Bright Shadows Corp, Bright Shadows TS Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
RONDESHYA KEYONNA COSBY PMHNP (DIRECTOR)
(252) 263-5787
Entity
Organization
Contact information
Practice address
687 US HIGHWAY 158 W, GATES, NC 27937-9807
(252) 751-5103
(252) 751-5127
Mailing address
PO BOX 9244, HAMPTON, VA 23670-0244
(252) 751-5103
(252) 751-5127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/01/2025
Last updated
01/03/2026
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