Organization
BRIGHT FUTURES BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MATTHEWS APRN (OWNER)
(270) 775-8000
Entity
Organization
Contact information
Practice address
1625 N MAIN ST, BEAVER DAM, KY 42320
(270) 775-5758
(270) 274-0696
Mailing address
1625 N MAIN ST, BEAVER DAM, KY 42320-8963
(270) 775-5758
(270) 274-0696
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3002835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78006764
—
KY
Enumeration date
07/28/2018
Last updated
08/29/2018
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