| NPI | 1184503237 |
|---|---|
| Doing Business As | BRIGHT SHADOWS CORP |
| Doing Business As | BRIGHT SHADOWS TELEPSYCH |
| Doing Business As | BRIGHT SHADOWS TS CORPORATION |
| Entity Type | Organization |
| Authorized Contact | RONDESHYA KEYONNA COSBY Director 252-263-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 363LF0000X Nurse Practitioner, Family | |
| 251S00000X Community/Behavioral Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 163W00000X Registered Nurse | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2026-01-03 |