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General NPI Number Information
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NPI Number | 1912620741
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Entity Type | Organization
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Legal Business Name | BRIGHTER PROSPECTS COUPLES COUNSELING, PLLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 16607 RIVERSTONE WAY STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28277-5750
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Country | US
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Telephone | 704-290-6082
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Fax |
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Provider Business Mailing Address
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Address Line | 5408 MACROOM CT
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City | MATTHEWS
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State | NC
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Zip | 28104-0600
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Country | US
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Telephone | 704-900-4452
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST ASSOC
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Name | KELLY COLEMAN
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Credential | LMFTA
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Telephone | 704-290-6082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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