MEDICARE: BRIGHT 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
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1356168983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT BEGINNINGS COUNSELING LLC

Provider Business Mailing Address
First Line	:	PO BOX 217
Second Line	:
City	:	ALPHA
State	:	MI
Zip	:	49902-0217
Country	:	US
Telephone Number	:	906-284-3420
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 PROSPECT AVE
Second Line	:
City	:	IRON MOUNTAIN
State	:	MI
Zip	:	49801-4624
Country	:	US
Telephone Number	:	906-282-5081
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	ANGELA KURTZ
Credential	:	LPC, CAADC, NCC
Telephone Number	:	906-282-5081

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	09/24/2024

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