Organization
BRIGHTERLIFE PSYCHOLOGICAL AND BEHAVIORAL SERVICES, PLLC
Active
Organization
BRIGHTERLIFE PSYCHOLOGICAL AND BEHAVIORAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKAOSA ONUMA ELEANYA MA, LPA (DIRECTOR)
(919) 649-5138
Entity
Organization
Contact information
Practice address
8386 SIX FORKS RD STE 101, RALEIGH, NC 27615-5088
(919) 649-5138
(800) 665-0489
Mailing address
4413 WEDGEWOOD DR, RALEIGH, NC 27604-5098
(919) 649-5138
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5787
PSYCHOLOGY BOARD CERTIFICATION NUMBER
NC
Enumeration date
09/03/2021
Last updated
09/03/2021
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