Healthcare Provider Details

I. General information

NPI: 1467037069
Provider Name (Legal Business Name): BRIGHTWOOD COUNSELING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 MILLCREEK PL
HIGHLANDS RANCH CO
80126-4945
US

IV. Provider business mailing address

2307 MILLCREEK PL
HIGHLANDS RANCH CO
80126-4945
US

V. Phone/Fax

Practice location:
  • Phone: 303-968-9308
  • Fax:
Mailing address:
  • Phone: 303-968-9308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN ANDREW VALENTE
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 303-968-9308