Organization
BRIGHTSIDE BEHAVIORAL LLC
Active
Organization
BRIGHTSIDE BEHAVIORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRINA RADDLER M.ED, LPC-S (OWNER)
(225) 405-5861
Entity
Organization
Contact information
Practice address
1651 LOBDELL AVENUE SUITE 203-B, BATON ROUGE, LA 70806
(225) 405-5861
(800) 570-9169
Mailing address
1651 LOBDELL AVENUE SUITE 203-B, BATON ROUGE, LA 70806
(225) 405-5861
(800) 570-9169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/15/2016
Last updated
07/10/2019
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