Healthcare Provider Details

I. General information

NPI: 1568498806
Provider Name (Legal Business Name): KRISHNA BRIGHT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISHNA PORTER

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5837 E 2ND ST
TUCSON AZ
85711-1513
US

IV. Provider business mailing address

5837 E 2ND ST
TUCSON AZ
85711-1513
US

V. Phone/Fax

Practice location:
  • Phone: 520-561-0750
  • Fax: 520-365-0284
Mailing address:
  • Phone: 520-409-3882
  • Fax: 520-365-0284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015858
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC019916
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMHC.LH.70038232
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC9095
License Number StateOR
# 5
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-12462
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: