Provider Demographics
NPI:1588254684
Name:A BRIGHTER JOURNEY
Entity type:Organization
Organization Name:A BRIGHTER JOURNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAKISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-214-2372
Mailing Address - Street 1:PO BOX 2214
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23609-0214
Mailing Address - Country:US
Mailing Address - Phone:757-527-3336
Mailing Address - Fax:757-827-0509
Practice Address - Street 1:13195 WARWICK BLVD STE 2E
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-8313
Practice Address - Country:US
Practice Address - Phone:757-527-3336
Practice Address - Fax:757-877-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health