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General NPI Number Information
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NPI Number | 1922388834
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Entity Type | Organization
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Legal Business Name | BRIGHT BEGINNINGS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 553 HARTFORD PIKE SUITE 5
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City | DAYVILLE
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State | CT
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Zip | 06241-2150
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Country | US
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Telephone | 860-774-1841
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Fax | 860-774-1841
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Provider Business Mailing Address
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Address Line | PO BOX 571
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City | DAYVILLE
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State | CT
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Zip | 06241-0571
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Country | US
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Telephone | 860-774-1841
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Fax | 860-774-1841
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Authorized Official
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Title or Position | PRIMARY THERAPIST, OWNER
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Name | ANDREA M DELAGE
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Credential | LCSW
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Telephone | 860-774-1841
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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 | 006786
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License Number State | CT
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