Provider Demographics
NPI:1033904024
Name:BRIGHT SKY INTEGRATIVE RECOVERY
Entity type:Organization
Organization Name:BRIGHT SKY INTEGRATIVE RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ERBER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:206-225-8780
Mailing Address - Street 1:151 SW SHEVLIN HIXON DR STE 102
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3232
Mailing Address - Country:US
Mailing Address - Phone:541-906-8448
Mailing Address - Fax:541-229-1284
Practice Address - Street 1:151 SW SHEVLIN HIXON DR STE 102
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3232
Practice Address - Country:US
Practice Address - Phone:541-906-8448
Practice Address - Fax:541-229-1284
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHT SKY INTEGRATIVE RECOVERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-11
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)