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NPI Code Detail

MEDICARE: BRIGHTER BEGINNINGS COUNSELING, LLC

MEDICARE: BRIGHTER BEGINNINGS COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor39002765AIN

General Provider Information

NPI Number : 1013373836
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTER BEGINNINGS COUNSELING, LLC
Provider Business Mailing Address
First Line : 2424 FRANKLIN ST
Second Line : SUITE 203
City : MICHIGAN CITY
State : IN
Zip : 46360-4562
Country : US
Telephone Number : 219-608-8357
Fax Number :
Provider Business Practice Location Address
First Line : 2424 FRANKLIN ST
Second Line : SUITE 203
City : MICHIGAN CITY
State : IN
Zip : 46360-4562
Country : US
Telephone Number : 219-608-8357
Fax Number :
Authorized Official
Title or Position : COUNSELOR
Name : MRS. DAWN M YATES
Credential : M.S.W.
Telephone Number : 219-608-8357
Provider Enumeration Date : 01/08/2016
Last Update Date : 01/08/2016

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Directions to “BRIGHTER BEGINNINGS COUNSELING, LLC ” Practice Location

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