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General NPI Number Information
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NPI Number | 1053848366
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAY COUNSELING SERVICES
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 18121 E 8 MILE RD STE 211
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City | EASTPOINTE
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State | MI
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Zip | 48021-3243
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Country | US
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Telephone | 586-252-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 18121 E 8 MILE RD STE 211
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City | EASTPOINTE
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State | MI
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Zip | 48021-3243
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Country | US
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Telephone | 586-252-1366
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | TAMICA ADAMS
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Credential | LMSW
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Telephone | 586-441-6788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801091713
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License Number State | MI
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