Provider Demographics
NPI: | 1558970442 |
---|---|
Name: | BRIGHT SOLUTIONS COUNSELING AND CONSULTING LLC |
Entity type: | Organization |
Organization Name: | BRIGHT SOLUTIONS COUNSELING AND CONSULTING LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | COUNSELOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CATHARINE |
Authorized Official - Middle Name: | CAYLEY |
Authorized Official - Last Name: | EDMONDS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LPC |
Authorized Official - Phone: | 256-603-1705 |
Mailing Address - Street 1: | 1707 MONTDALE RD SE |
Mailing Address - Street 2: | |
Mailing Address - City: | HUNTSVILLE |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 35801-2133 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 256-603-1705 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2211 SEMINOLE DR SW # 1063 |
Practice Address - Street 2: | |
Practice Address - City: | HUNTSVILLE |
Practice Address - State: | AL |
Practice Address - Zip Code: | 35805-3848 |
Practice Address - Country: | US |
Practice Address - Phone: | 256-603-1705 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-07-27 |
Last Update Date: | 2020-07-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |