Provider Demographics
NPI:1588161491
Name:BRIGHT SOLUTIONS THERAPY, INC
Entity type:Organization
Organization Name:BRIGHT SOLUTIONS THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNIA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:PEREZ PINILLO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:786-486-9749
Mailing Address - Street 1:3429 W 80TH ST APT 108
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7571
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3429 W 80TH ST APT 108
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-7571
Practice Address - Country:US
Practice Address - Phone:786-486-9749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-07
Last Update Date:2018-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13548174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008140300Medicaid