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General NPI Number Information
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NPI Number | 1184105173
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Entity Type | Organization
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Legal Business Name | BRIGHT SPOT COUNSELING PLLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 32905 W 12 MILE RD STE 310
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3345
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Country | US
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Telephone | 248-296-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 32905 W 12 MILE RD STE 310
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3345
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Country | US
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Telephone | 248-296-3104
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | GINGER KAYE HOUGHTON
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Credential | LMSW, CAADC
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Telephone | 248-227-8760
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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 | 6801092374
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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