Brightview LLC

NPI #1417643669 in Pikeville, Kentucky

Provider Information

NPI Number: 1417643669
Entity Type: Organization
Organization Name: Brightview LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BRIGHTVIEW LLC
Primary Specialty: Family Medicine - Addiction Medicine
Enumeration Date: Apr 12, 2023
Last Updated: Apr 12, 2023

Practice Location

Address: 3889 N MAYO TRL STE 200&300
City: Pikeville
State: Kentucky
ZIP Code: 41501-3213
Phone: (833) 510-4357

Authorized Official

Name: AMY MARIE NIEMAN
Title: DIRECTOR OF CREDENTIALING
Phone: (513) 834-7063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Methadone — Methadone	261QM2800X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X	Primary

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