Organization
BRIGHTSIDE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JEPTOO BETT NP (OWNER)
(602) 708-9253
Entity
Organization
Contact information
Practice address
7100 W GRANDVIEW RD, #1126, PEORIA, AZ 85382-4911
(602) 708-9253
Mailing address
7100 W GRANDVIEW RD APT 1126, PEORIA, AZ 85382-4911
(602) 708-9253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/29/2022
Last updated
06/30/2023
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