Provider Demographics
NPI:1124882600
Name:BRIGHTER BALANCE LLC
Entity type:Organization
Organization Name:BRIGHTER BALANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTENHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:319-759-5290
Mailing Address - Street 1:302 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WAPELLO
Mailing Address - State:IA
Mailing Address - Zip Code:52653-1310
Mailing Address - Country:US
Mailing Address - Phone:319-759-5290
Mailing Address - Fax:
Practice Address - Street 1:307 N 2ND ST STE B
Practice Address - Street 2:
Practice Address - City:WAPELLO
Practice Address - State:IA
Practice Address - Zip Code:52653-1203
Practice Address - Country:US
Practice Address - Phone:319-759-5290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty