Provider Demographics
NPI:1134080104
Name:BRIGHTER SPIRITS, PLLC
Entity type:Organization
Organization Name:BRIGHTER SPIRITS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CLINICAL DIRECTOR, BRIGHT
Authorized Official - Prefix:MS
Authorized Official - First Name:LATEEFA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:SHABAZZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:317-469-3582
Mailing Address - Street 1:2100 COUNTRY CLUB RD APT 706
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7309
Mailing Address - Country:US
Mailing Address - Phone:317-469-3582
Mailing Address - Fax:910-238-2521
Practice Address - Street 1:2100 COUNTRY CLUB RD APT 706
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7309
Practice Address - Country:US
Practice Address - Phone:317-469-3582
Practice Address - Fax:910-238-2521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty