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Organization

BRIGHTER HEIGHTS ARIZONA, LLC

Active
Other names
Prescott OPC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BROOKE WILSON (SENIOR CREDENTIALING SPECIALIST)
(928) 772-4131
Entity
Organization

Contact information

Practice address
2517 N GREAT WESTERN DR STE P, PRESCOTT VALLEY, AZ 86314-2597
(928) 777-4131
(928) 227-4589
Mailing address
2517 N GREAT WESTERN DR STE P, PRESCOTT VALLEY, AZ 86314-2597
(928) 777-4131
(928) 227-4589

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BH-2730
AZ
101YM0800X
Mental Health Counselor
Primary
BH-3517
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
210064
AZ
Enumeration date
12/05/2006
Last updated
09/02/2025
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