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General NPI Number Information
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NPI Number | 1730909896
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAYS MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 716A E 1700 AVE
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City | VANDALIA
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State | IL
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Zip | 62471-4599
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Country | US
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Telephone | 618-214-4990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32
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City | ALTAMONT
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State | IL
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Zip | 62411-0032
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Country | US
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Telephone | 618-214-4990
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | AMBER SMITH
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Credential | MS, LCPC
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Telephone | 618-214-4990
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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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