Provider Demographics
NPI:1043789746
Name:BRIGHTER SIDE RECOVERY LLP
Entity type:Organization
Organization Name:BRIGHTER SIDE RECOVERY LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:812-962-9020
Mailing Address - Street 1:4972 LINCOLN AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-7909
Mailing Address - Country:US
Mailing Address - Phone:812-962-9020
Mailing Address - Fax:812-962-8020
Practice Address - Street 1:4972 LINCOLN AVE STE 204
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-7909
Practice Address - Country:US
Practice Address - Phone:812-962-9020
Practice Address - Fax:812-962-8020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty