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General NPI Number Information
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NPI Number | 1811631401
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Entity Type | Organization
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Legal Business Name | BRIGHTER TOMORROW WELLNESS CENTER
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 5900 S MAIN ST
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City | CLARKSTON
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State | MI
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Zip | 48346-2378
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Country | US
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Telephone | 810-869-3931
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 S MAIN ST
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City | CLARKSTON
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State | MI
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Zip | 48346-2378
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Country | US
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Telephone | 810-869-3931
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Fax |
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Authorized Official
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Title or Position | OWNER/ CLINICAL DIRECTOR
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Name | EMILY SHORT
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Credential | LMFT
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Telephone | 810-869-3931
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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