Provider Demographics
NPI:1548074594
Name:BRIGHT HORIZONS BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:BRIGHT HORIZONS BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-276-4611
Mailing Address - Street 1:6121 AVALON RD
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9745
Mailing Address - Country:US
Mailing Address - Phone:407-349-7044
Mailing Address - Fax:800-316-7892
Practice Address - Street 1:6121 AVALON RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9745
Practice Address - Country:US
Practice Address - Phone:407-349-7044
Practice Address - Fax:800-316-7892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty