Organization
BRIGHTVIEW LLC
Active
Parent organization
BRIGHTVIEW LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHTVIEW LLC
Authorized official
AMY MARIE NIEMAN (DIRECTOR OF CREDENTIALING)
(513) 834-7063
Entity
Organization
Contact information
Practice address
3889 N MAYO TRL STE 200&300, PIKEVILLE, KY 41501-3213
(833) 510-4357
(513) 873-1567
Mailing address
4600 MONTGOMERY RD, CINCINNATI, OH 45212-2697
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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