Provider Demographics
NPI:1992134209
Name:BRIGHTER DAY PROFESSIONAL COUNSELING AND CONSULTATION, LLC
Entity type:Organization
Organization Name:BRIGHTER DAY PROFESSIONAL COUNSELING AND CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENTRY
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:769-218-9119
Mailing Address - Street 1:123-A HIGHWAY 80 EAST #244
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-4738
Mailing Address - Country:US
Mailing Address - Phone:769-218-9119
Mailing Address - Fax:
Practice Address - Street 1:344 KEY WAY DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232
Practice Address - Country:US
Practice Address - Phone:769-218-9119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1763101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty