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General NPI Number Information
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NPI Number | 1164247417
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Entity Type | Organization
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Legal Business Name | BRIGHTER SIDE THERAPY SERVICES
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 680 N LAKE SHORE DR STE 110
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City | CHICAGO
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State | IL
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Zip | 60611-4447
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Country | US
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Telephone | 779-379-2341
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Fax |
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Provider Business Mailing Address
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Address Line | 680 N LAKE SHORE DR STE 110
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City | CHICAGO
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State | IL
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Zip | 60611-4447
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Country | US
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Telephone | 779-379-2341
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARGO ABRAMS
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Credential | PSY.D.
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Telephone | 952-237-9095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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