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General NPI Number Information
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NPI Number | 1730046210
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Entity Type | Organization
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Legal Business Name | BRIGHT GOALS COUNSELING & ACADEMIC SERVICES
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1049 PRINCE LN
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City | ROCK HILL
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State | SC
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Zip | 29730-4882
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Country | US
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Telephone | 864-275-9926
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Fax |
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Provider Business Mailing Address
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Address Line | 2764 PLEASANT RD STE A738
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City | FORT MILL
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State | SC
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Zip | 29708-7213
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Country | US
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Telephone | 864-275-9926
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR/OWNER
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Name | EBONY PRUITT KENNEDY
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Credential | M.ED, LPC
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Telephone | 864-275-9926
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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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