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General NPI Number Information
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NPI Number | 1881258424
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Entity Type | Organization
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Legal Business Name | BRIGHTER PATHS WELLNESS AND COUNSELING CENTER
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 4888 DEXTER DR STE 300B
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City | PLANO
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State | TX
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Zip | 75093-5565
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Country | US
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Telephone | 469-717-0662
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Fax | 866-585-0224
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Provider Business Mailing Address
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Address Line | 4815 WESTGROVE DR APT 405
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City | ADDISON
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State | TX
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Zip | 75001-6103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CHRIS P
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Credential |
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Telephone | 708-575-0084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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