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NPI Code Detail

MEDICARE: BRIGHTER OUTLOOK MENTAL HEALTH COUNSELING, PLLC

MEDICARE: BRIGHTER OUTLOOK MENTAL HEALTH COUNSELING, PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1558912907
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIGHTER OUTLOOK MENTAL HEALTH COUNSELING, PLLC
Provider Business Mailing Address
First Line : 2381 HYLAN BLVD STE 12F
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-3145
Country : US
Telephone Number : 347-983-0578
Fax Number :
Provider Business Practice Location Address
First Line : 2381 HYLAN BLVD STE 12F
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-3145
Country : US
Telephone Number : 347-983-0578
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DANIELLE PIGNO
Credential :
Telephone Number : 718-213-8674
Provider Enumeration Date : 09/26/2019
Last Update Date : 06/18/2021

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