Provider Demographics
NPI:1104542349
Name:BRIGHTER DAYS INSIGHT
Entity type:Organization
Organization Name:BRIGHTER DAYS INSIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND LPC
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:MACKALL
Authorized Official - Last Name:LAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:703-409-0942
Mailing Address - Street 1:6905 VICTORIA DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-4358
Mailing Address - Country:US
Mailing Address - Phone:703-409-0942
Mailing Address - Fax:
Practice Address - Street 1:6164 FULLER CT STE 2
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-2540
Practice Address - Country:US
Practice Address - Phone:703-463-2433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)