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General NPI Number Information
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NPI Number | 1114695905
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAY COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/06/2021
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Last Update Date | 09/06/2021
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Provider Practice Location Address
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Address Line | 11725 STILL HAVEN CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-3974
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Country | US
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Telephone | 317-929-9285
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Fax |
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Provider Business Mailing Address
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Address Line | 1907 PRO AM PL
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-4322
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Country | US
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Telephone | 317-929-9285
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOY BANKS
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Credential | LCSW
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Telephone | 317-929-9285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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