Provider Demographics
NPI:1285455204
Name:BRIGHTPATH RECOVERY SERVICES, PLLC
Entity type:Organization
Organization Name:BRIGHTPATH RECOVERY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BOWDOIN
Authorized Official - Suffix:
Authorized Official - Credentials:LACAC, QCS, II
Authorized Official - Phone:615-462-7392
Mailing Address - Street 1:431 NISSAN DR STE 202
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-4365
Mailing Address - Country:US
Mailing Address - Phone:615-462-7392
Mailing Address - Fax:
Practice Address - Street 1:431 NISSAN DR STE 202
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-4365
Practice Address - Country:US
Practice Address - Phone:615-462-7392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder