Provider Demographics
NPI:1053111724
Name:BRIGHT WAY MENTAL HEALTH, LLC
Entity type:Organization
Organization Name:BRIGHT WAY MENTAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:ALC
Authorized Official - Phone:662-660-3290
Mailing Address - Street 1:15791 BIG BEN DR NW
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-6105
Mailing Address - Country:US
Mailing Address - Phone:662-660-3290
Mailing Address - Fax:
Practice Address - Street 1:9238 MADISON BLVD STE 116
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9112
Practice Address - Country:US
Practice Address - Phone:256-510-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty