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General NPI Number Information
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NPI Number | 1073173175
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Entity Type | Organization
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Legal Business Name | BRIGHT REFLECTIONS LLC
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 1602 BROAD ST STE 1
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City | GREENSBURG
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State | PA
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Zip | 15601-5478
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Country | US
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Telephone | 724-221-7484
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Fax | 724-972-4207
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Provider Business Mailing Address
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Address Line | 1602 BROAD ST STE 2
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City | GREENSBURG
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State | PA
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Zip | 15601-5478
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Country | US
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Telephone | 724-221-7484
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Fax |
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Authorized Official
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Title or Position | CEO/CLINICIAN
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Name | KRISTIN CLINE
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Credential | MS,LPC,CAADC,SAP,BCT
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Telephone | 724-221-7484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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