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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