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)
(833) 510-4357
Entity
Organization
Contact information
Practice address
506 N MAIN ST, NICHOLASVILLE, KY 40356-1134
(513) 834-7063
(513) 873-1567
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100715180
—
KY
Enumeration date
12/16/2020
Last updated
05/06/2024
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