Organization
BRIGHT LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ANNE GRAFF (OWNER)
(360) 953-3199
Entity
Organization
Contact information
Practice address
844 N TYNDALL PKWY # 108, PANAMA CITY, FL 32404-9407
(360) 953-3199
Mailing address
7700 NE PARKWAY DR STE 215, VANCOUVER, WA 98662-6653
(360) 953-3199
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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