Organization
BRIGHTER LIVING MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS LOGAN (MANAGER)
(352) 234-3750
Entity
Organization
Contact information
Practice address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
(240) 409-9734
Mailing address
5100 BUCKEYSTOWN PIKE STE 250, FREDERICK, MD 21704-8344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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