Brightwater Wellness, Llc
LBN: Brightwater Wellness, Llc
Brightwater Wellness, Llc is an health care organization with primary practice located at 300 S Main St Ste 212 , Holly Springs NC 27540-4201. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Brightwater Wellness, Llc can be contacted via phone (919) 295-6485, or through Parker, Tara Danielle via phone (910) 233-3644.
Contact Information
Primary practice address
300 S Main St Ste 212
Holly Springs NC 27540-4201
Phone: (919) 295-6485
Fax:
Website:
Authorized official contact:
Name: Parker, Tara Danielle Licensed Clinical Social Worker (LCSW)
Phone: (910) 233-3644
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1356072391 |
|---|---|
| LBN Legal business name | Brightwater Wellness, Llc |
| DBA Doing business as | |
| Authorized official | Parker, Tara Danielle Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2022 |
| Last updated | Jun 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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