Provider Demographics
NPI:1548687288
Name:BRIGHT PATH THERAPISTS
Entity type:Organization
Organization Name:BRIGHT PATH THERAPISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-689-1700
Mailing Address - Street 1:3444 21ST ST
Mailing Address - Street 2:APT A
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2213
Mailing Address - Country:US
Mailing Address - Phone:415-689-1700
Mailing Address - Fax:415-689-7333
Practice Address - Street 1:3444 21ST ST
Practice Address - Street 2:APT A
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2213
Practice Address - Country:US
Practice Address - Phone:415-689-1700
Practice Address - Fax:415-689-7333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1A-38-060251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services