LIGHT BRIGHT COUNSELING CENTER, PLLC (NPI# 1891340386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891340386 |
| Entity Type | Organization |
| Organization Name | LIGHT BRIGHT COUNSELING CENTER, PLLC |
| Practice Address |
1751 River Run Ste 200 Fort Worth TX 76107-6670 |
| Mailing Address |
10416 Boxthorn Ct Fort Worth TX 76177-3012 |
| Practice Telephone | 6822536810 |
| Mailing Telephone | 8176751074 |
| Mailing Fax Number | 6827080501 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | MS. CHERYL V. GRAY (THERAPIST) |
| Authorized Official Telephone | 8176751074 |
| Authorized Official Credential | LPC-SUPERVISOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
1751 RIVER RUN STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-6670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992172753 | Edward Holt Towns Jr. | Counselor | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2015-08-27 |
| 1114524360 | Lauren Walker | Nutritionist | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2020-10-01 |
| 1922621796 | Tristan's Legacy, Pllc | Counselor | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2020-05-27 |
| 1144869181 | Barbara Ann Buchanan | Marriage & Family Therapist | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2019-12-21 |
| 1982259818 | Lauren-anne D'angelo Nguyen | Hearing Instrument Specialist | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2019-08-07 |
| 1093369845 | Getting Better Counseling Services, Pllc | Counselor | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2019-07-30 |
| 1609305952 | Stephanie Broadnax Broussard | Social Worker | 1751 River Run Ste 200, Fort Worth, TX 76107-6670 | 2017-06-09 |
| 1194197715 | Michelle Borunda | Social Worker | 1751 River Run Ste 200, Fort Worth, TX 76107-6644 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428780 | Cynthia Frazier | Counselor | 2612 Dahlia Dr, Fort Worth, TX 76123-1252 | 2020-08-23 |
| 1326650755 | Next Steps Professional Counseling Services, LLC | Counselor | 101 S Jennings Ave Unit 104, Fort Worth, TX 76104-1112 | 2020-08-18 |
| 1477163103 | Adriana E Speiker | Counselor | 3509 Hulen St Ste 251, Fort Worth, TX 76107-6867 | 2020-08-07 |
| 1285252031 | Kiersta Lane Garcia | Counselor | 1810 8th Ave Ste B204, Fort Worth, TX 76110-1352 | 2020-07-08 |
| 1588290571 | Heather Penry | Counselor | 1024 Marlow Ln, Fort Worth, TX 76131-5375 | 2020-03-21 |
| 1992339105 | Azmeh Amer | Counselor | 172 Saint Donovan St, Fort Worth, TX 76107-1252 | 2020-02-26 |
| 1588297121 | Surnedra C Simmons | Counselor | 4941 Sunset Ridge Dr, Fort Worth, TX 76123-4615 | 2020-02-21 |
| 1821629957 | Turquoise Banks | Counselor | 5821 Wedgwood Dr, Fort Worth, TX 76133-2726 | 2020-01-28 |
| 1003447236 | Nicole Leona Sallee | Counselor | 201 Main St Fl 6, Fort Worth, TX 76102-3105 | 2020-01-27 |
| 1780214106 | Jeremy Adam Lelek | Counselor | 2501 Parkview Dr Ste 220, Fort Worth, TX 76102-5824 | 2020-01-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.