Healthcare Provider Details
I. General information
NPI: 1275454308
Provider Name (Legal Business Name): BRIGHT RIVER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 N SPRING ST STE 200-3
CONCORD NH
03301-3938
US
IV. Provider business mailing address
75 S MAIN ST UNIT 7 PMB 141
CONCORD NH
03301-4865
US
V. Phone/Fax
- Phone: 603-425-6840
- Fax:
- Phone: 603-425-6840
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MING
JIANG
Title or Position: THERAPIST
Credential: LCMHC
Phone: 603-425-6840