Provider Demographics
NPI:1528885621
Name:BUILDING BRIGHT FUTURES
Entity type:Organization
Organization Name:BUILDING BRIGHT FUTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:708-227-4546
Mailing Address - Street 1:20855 S LAGRANGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-2040
Mailing Address - Country:US
Mailing Address - Phone:708-227-4546
Mailing Address - Fax:
Practice Address - Street 1:20855 S LAGRANGE RD STE 200
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-2040
Practice Address - Country:US
Practice Address - Phone:708-227-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty