Provider Demographics
NPI:1114809399
Name:BRIGHT MOVE THERAPY, LLC
Entity type:Organization
Organization Name:BRIGHT MOVE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-401-0447
Mailing Address - Street 1:PO BOX 993
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-0374
Mailing Address - Country:US
Mailing Address - Phone:541-791-4959
Mailing Address - Fax:541-791-2512
Practice Address - Street 1:220 6TH AVE SW STE 201
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-2568
Practice Address - Country:US
Practice Address - Phone:541-791-4959
Practice Address - Fax:541-791-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty