Healthcare Provider Details

I. General information

NPI: 1215408166
Provider Name (Legal Business Name): BRIGHT COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 12/11/2019
Certification Date: 12/11/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HELEN AVE
FREEHOLD NJ
07728-2607
US

IV. Provider business mailing address

1 HELEN AVE
FREEHOLD NJ
07728-2607
US

V. Phone/Fax

Practice location:
  • Phone: 732-773-8087
  • Fax:
Mailing address:
  • Phone: 732-773-8087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: KAREN ANN BRIGHT-PAPEO
Title or Position: OWNER
Credential: LPC
Phone: 732-773-8087