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General NPI Number Information
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NPI Number | 1104542349
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAYS INSIGHT
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 6164 FULLER CT STE 2
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City | ALEXANDRIA
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State | VA
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Zip | 22310-2540
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Country | US
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Telephone | 703-463-2433
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Fax |
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Provider Business Mailing Address
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Address Line | 6905 VICTORIA DR UNIT C
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City | ALEXANDRIA
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State | VA
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Zip | 22310-4358
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Country | US
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Telephone | 703-409-0942
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Fax |
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Authorized Official
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Title or Position | OWNER AND LPC
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Name | VANESSA MACKALL LAL
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Credential | LPC
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Telephone | 703-409-0942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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