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General NPI Number Information
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NPI Number | 1497448260
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Entity Type | Organization
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Legal Business Name | BRIGHTSIDE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 7009 S POTOMAC ST STE 124
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City | CENTENNIAL
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State | CO
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Zip | 80112-4067
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Country | US
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Telephone | 303-353-9226
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Fax | 720-923-2321
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Provider Business Mailing Address
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Address Line | 7009 S POTOMAC ST STE 124
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City | CENTENNIAL
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State | CO
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Zip | 80112-4067
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Country | US
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Telephone | 303-353-9226
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Fax | 720-923-2321
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MEGAN DEAN
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Credential |
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Telephone | 720-271-0842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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