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Brightside Wellness Llc
Psychiatric/Mental Health Nurse Practitioner in Peoria, Arizona
NPI 1922718196

Brightside Wellness Llc is a Psychiatric/Mental Health Nurse Practitioner based in Peoria, AZ and is specialized in Psychiatric/Mental Health. Brightside Wellness Llc practices in Peoria, AZ. The NPI Number for Brightside Wellness Llc is 1922718196 and holds a License No. (Arizona).

The current practice location address for Brightside Wellness Llc is 7100 W Grandview Rd, Peoria, AZ and can be reached out via phone at 602-708-9253. You can also correspond with Brightside Wellness Llc through the mailing address at 7100 W GRANDVIEW RD APT 1126, PEORIA, AZ - 85382-4911 (mailing address contact number: 602-708-9253).

Location: 7100 W Grandview Rd, Peoria, AZ, 85382-4911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922718196
Provider Name
Brightside Wellness Llc
Credential
Provider Entity Type
Organization
Address
7100 W Grandview Rd, Peoria, AZ, 85382-4911
Phone Number
602-708-9253
Fax Number
Provider Enumeration Date
11/29/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7100 W Grandview Rd
City
Peoria
State
Arizona
Zip
85382-4911
Phone Number
602-708-9253
Fax Number
person
Provider Business Mailing Address Details
Address
7100 W Grandview Rd
City
Peoria
State
Arizona
Zip
85382-4911
Phone Number
602-708-9253
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
()
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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